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General NPI Number Information
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NPI Number | 1609253970
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Entity Type | Individual
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Provider Name | ANNA DUFFRIN
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Gender | Female
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 1972 CLARK AVE
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City | ALLIANCE
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State | OH
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Zip | 44601-3993
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Country | US
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Telephone | 330-829-8966
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Fax |
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Provider Business Mailing Address
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Address Line | 440 FAIRGROUND BLVD APT 41
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City | CANFIELD
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State | OH
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Zip | 44406-1524
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Country | US
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Telephone | 262-365-9827
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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 | RT006444
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1957-39
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT006081
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License Number State | OH
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