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General NPI Number Information
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NPI Number | 1639169782
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Entity Type | Individual
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Provider Name | BRIAN STEVEN LUND MS, ATC
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Gender | Male
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 4180 KEN DIXON WAY
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City | ORLANDO
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State | FL
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Zip | 32816-8029
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Country | US
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Telephone | 608-345-3272
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Fax |
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Provider Business Mailing Address
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Address Line | 1543 BULLBUSH WAY
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City | OVIEDO
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State | FL
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Zip | 32765-7465
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Country | US
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Telephone | 608-345-3272
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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 | AL7233
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License Number State | FL
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