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General NPI Number Information
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NPI Number | 1679287049
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Entity Type | Individual
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Provider Name | CLAUDINE WEINER ATC
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Gender | Female
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 380 OLD TOWN RD
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City | SETAUKET
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State | NY
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Zip | 11733-3482
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Country | US
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Telephone | 631-730-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 19 EASTVIEW DR
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City | SOUND BEACH
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State | NY
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Zip | 11789-1021
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Country | US
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Telephone | 631-252-5883
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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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