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General NPI Number Information
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NPI Number | 1770478596
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Entity Type | Individual
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Provider Name | ELYSE SCHWEIKERT MS, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 920 E HUBBARD ST
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City | LINDALE
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State | TX
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Zip | 75771-3385
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Country | US
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Telephone | 903-881-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 18051 LORING LN
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City | LINDALE
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State | TX
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Zip | 75771-6665
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Country | US
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Telephone | 402-990-8878
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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 | AT10149
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License Number State | TX
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