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General NPI Number Information
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NPI Number | 1730140443
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Entity Type | Individual
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Provider Name | JENNNIFER ELENA KESLER ATC
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Gender | Female
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 201 ALMOND AVE
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City | LOS ALTOS
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State | CA
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Zip | 94022-2206
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Country | US
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Telephone | 650-960-8887
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 LILLICK DR APT. 223
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City | SANTA CLARA
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State | CA
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Zip | 95051-3242
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Country | US
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Telephone | 707-498-1285
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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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