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General NPI Number Information
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NPI Number | 1720048937
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Entity Type | Individual
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Provider Name | MAREN MCELWEE BICKNELL ATC, CSCS
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Gender | Female
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 24 BRIDGE ST NEW ENGLAND COLLEGE DEPARTMENT OF ATHLETICS
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City | HENNIKER
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State | NH
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Zip | 03242-3202
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Country | US
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Telephone | 603-428-2260
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Fax |
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Provider Business Mailing Address
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Address Line | 19 ROBINSWOOD WAY
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City | GILMANTON
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State | NH
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Zip | 03237-4354
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Country | US
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Telephone | 603-267-7670
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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 | 16
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License Number State | NH
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