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General NPI Number Information
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NPI Number | 1780223826
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Entity Type | Individual
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Provider Name | JULIE NICOLE LEPAGE ATC
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Gender | Female
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 100 SAINT ANSELM DR
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City | MANCHESTER
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State | NH
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Zip | 03102-1308
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Country | US
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Telephone | 603-641-7807
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Fax |
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Provider Business Mailing Address
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Address Line | 9 LOCKELAND RD
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City | WINCHESTER
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State | MA
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Zip | 01890-3341
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Country | US
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Telephone | 408-656-8802
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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 | 3195
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License Number State | MA
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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 | 1349
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License Number State | NH
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