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General NPI Number Information
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NPI Number | 1548929045
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Entity Type | Individual
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Provider Name | JAIME NURRENBERN PT, DPT, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 12/12/2021
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 101 NW 1ST ST STE 114
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City | EVANSVILLE
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State | IN
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Zip | 47708-1259
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Country | US
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Telephone | 812-402-0444
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Fax | 812-402-0449
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Provider Business Mailing Address
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Address Line | 2070 E PRESLEY DR
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City | HAUBSTADT
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State | IN
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Zip | 47639-7969
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Country | US
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Telephone | 812-677-7640
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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 | 2083S0010X
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Taxonomy Name | Sports Medicine (Preventive Medicine) Physician
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License Number | 36003523A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 99131323A
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License Number State | IN
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