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General NPI Number Information
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NPI Number | 1639735780
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Entity Type | Individual
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Provider Name | TERA HELANA ROLFE ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2019
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 500 W BARD RD
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City | OXNARD
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State | CA
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Zip | 93033-6306
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Country | US
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Telephone | 805-607-4033
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Fax | 602-294-5556
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Provider Business Mailing Address
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Address Line | 10612 VINCA LN APT 201
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City | VENTURA
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State | CA
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Zip | 93004-4834
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Country | US
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Telephone | 805-607-4033
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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 | A160929395
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License Number State | WA
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