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General NPI Number Information
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NPI Number | 1669532859
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Entity Type | Individual
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Provider Name | KENT C SCRIBER EDD, ATC, PT
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14 HILL RD ITHACA COLLEGE
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City | ITHACA
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State | NY
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Zip | 14850-8629
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Country | US
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Telephone | 607-274-3178
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Fax | 607-274-1943
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Provider Business Mailing Address
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Address Line | 85 GUNDERMAN RD
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City | ITHACA
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State | NY
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Zip | 14850-8624
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Country | US
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Telephone | 607-272-1782
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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 | 000118-1
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License Number State | NY
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