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General NPI Number Information
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NPI Number | 1710676317
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Entity Type | Individual
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Provider Name | BRIANNA TROXEL LAT, ATC, MSAT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 441 BATTLEFIELD BLVD S
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City | CHESAPEAKE
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State | VA
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Zip | 23322-5313
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Country | US
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Telephone | 757-668-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 720 TAPESTRY PARK LOOP APT 226
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City | CHESAPEAKE
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State | VA
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Zip | 23320-5513
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Country | US
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Telephone | 414-208-0241
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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 | 0126003961
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License Number State | VA
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