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General NPI Number Information
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NPI Number | 1750022505
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Entity Type | Individual
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Provider Name | ROSS A ARENS MS, LAT, ATC, OPE-C
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Gender | Male
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 1750 N LINCOLN AVE
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City | FREMONT
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State | NE
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Zip | 68025-3299
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Country | US
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Telephone | 712-541-3996
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Fax |
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Provider Business Mailing Address
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Address Line | 980 E 29TH ST APT 6
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City | FREMONT
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State | NE
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Zip | 68025-4679
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Country | US
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Telephone | 712-541-3996
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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 | 1110
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License Number State | NE
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