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General NPI Number Information
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NPI Number | 1588159073
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Entity Type | Individual
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Provider Name | MARIA ISABEL APARICIO ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 5530 N 4TH ST
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City | COEUR D ALENE
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State | ID
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Zip | 83815-9266
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Country | US
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Telephone | 208-667-4507
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Fax |
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Provider Business Mailing Address
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Address Line | 405 N PORTICO CT # 405
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City | COEUR D ALENE
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State | ID
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Zip | 83815-9167
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Country | US
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Telephone | 208-640-6319
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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 | AT-600
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License Number State | ID
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