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General NPI Number Information
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NPI Number | 1508312836
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Entity Type | Individual
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Provider Name | GABRIELLA ARMOR ATC
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Gender | Female
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 1615 EDGEWATER DR STE 180
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City | ORLANDO
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State | FL
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Zip | 32804-5851
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Country | US
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Telephone | 407-601-6412
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Fax |
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Provider Business Mailing Address
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Address Line | 4562 CARAMBOLA CIR S
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City | COCONUT CREEK
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State | FL
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Zip | 33066-2913
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Country | US
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Telephone | 954-821-6632
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | A656281948320
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL4619
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT37561
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License Number State | FL
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