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General NPI Number Information
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NPI Number | 1568693463
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Entity Type | Individual
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Provider Name | AYA FELLING M.A, A.T.C., C.S.C.S
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Gender | Female
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 07/27/2009
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Provider Practice Location Address
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Address Line | 25255 TOLEDO WAY
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City | LAKE FOREST
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State | CA
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Zip | 92630-4203
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Country | US
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Telephone | 949-586-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 6401 E NOHL RANCH RD #30
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City | ANAHEIM
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State | CA
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Zip | 92807-4890
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Country | US
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Telephone |
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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 |
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License Number State |
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