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General NPI Number Information
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NPI Number | 1598725269
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Entity Type | Individual
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Provider Name | STEVEN J BUDRICK ATC
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Gender | Male
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Dates
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Enumeration Date | 03/25/2006
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 121 NORTH ST #41
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City | HINGHAM
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State | MA
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Zip | 02043-9998
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Country | US
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Telephone | 617-429-4078
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 41
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City | HINGHAM
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State | MA
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Zip | 02043-0041
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Country | US
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Telephone | 617-429-4078
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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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