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General NPI Number Information
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NPI Number | 1730718602
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Entity Type | Individual
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Provider Name | MONICA CARO ATC
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Gender | Female
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 15031 RINALDI ST
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City | MISSION HILLS
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State | CA
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Zip | 91345-1207
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Country | US
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Telephone | 818-404-0350
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Fax |
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Provider Business Mailing Address
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Address Line | 5837 WHITNALL HWY APT 2
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-1457
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Country | US
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Telephone | 818-404-0350
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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 | 2000026192
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License Number State | CA
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