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General NPI Number Information
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NPI Number | 1538323985
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Entity Type | Individual
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Provider Name | JANELLE RAE FRANCISCO M.S., ATC
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Gender | Female
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Dates
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Enumeration Date | 07/15/2008
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 2111 HILLSIDE RD U-3078
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City | STORRS MANSFIELD
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State | CT
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Zip | 06269-9002
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Country | US
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Telephone | 860-486-2520
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Fax |
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Provider Business Mailing Address
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Address Line | 335 CENTER RD APT 5D
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City | VERNON
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State | CT
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Zip | 06066-4178
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Country | US
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Telephone | 860-983-0266
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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 | 000555
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License Number State | CT
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