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General NPI Number Information
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NPI Number | 1750801130
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Entity Type | Individual
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Provider Name | ADAM DOUGLAS HRYNIEWICZ ATC
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Gender | Male
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 13123 E 16TH AVE
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City | AURORA
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State | CO
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Zip | 80045-7106
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Country | US
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Telephone | 720-777-0599
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Fax |
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Provider Business Mailing Address
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Address Line | 8012 W LONG DR UNIT 107
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City | LITTLETON
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State | CO
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Zip | 80123-1212
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Country | US
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Telephone |
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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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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT.0002400
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License Number State | CO
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