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General NPI Number Information
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NPI Number | 1649236936
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Entity Type | Individual
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Provider Name | JENNIFER TIRILLO ATC, CSCS
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 10 MAIN ST
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City | CHESHIRE
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State | CT
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Zip | 06410-2403
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Country | US
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Telephone | 860-712-0052
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Fax |
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Provider Business Mailing Address
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Address Line | 136 DOWD ST
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City | NEWINGTON
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State | CT
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Zip | 06111-2609
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Country | US
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Telephone |
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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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