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General NPI Number Information
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NPI Number | 1578296919
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Entity Type | Individual
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Provider Name | TUREA VENNER MAT, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 07/04/2022
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 205 SUNNYVIEW LN
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City | KALISPELL
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State | MT
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Zip | 59901-3120
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Country | US
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Telephone | 406-422-2213
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Fax |
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Provider Business Mailing Address
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Address Line | 102 EMPIRE LOOP
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City | KALISPELL
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State | MT
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Zip | 59901-2523
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Country | US
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Telephone | 406-422-2213
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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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