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General NPI Number Information
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NPI Number | 1750819421
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Entity Type | Individual
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Provider Name | LAUREN TRESSLER MS, ATC, LAT, PT
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Gender | Female
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 941 INDUSTRY AVE SE STE C
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City | ROANOKE
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State | VA
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Zip | 24013-2927
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Country | US
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Telephone | 540-581-1210
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Fax |
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Provider Business Mailing Address
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Address Line | 213 S JEFFERSON ST STE 1006
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City | ROANOKE
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State | VA
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Zip | 24011-1713
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Country | US
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Telephone | 540-224-5352
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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 | 0126002114
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305214371
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License Number State | VA
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