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General NPI Number Information
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NPI Number | 1780937789
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Entity Type | Individual
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Provider Name | CRAIG ELLIOTT PFEIFER PHD, ATC, FHEA
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Gender | Male
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 139 CREVALLE RD
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City | ROTONDA WEST
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State | FL
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Zip | 33947-2855
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Country | US
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Telephone | 410-652-4166
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Fax |
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Provider Business Mailing Address
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Address Line | 3755 EMERALD AVE
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City | ST JAMES CITY
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State | FL
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Zip | 33956-2205
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Country | US
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Telephone | 410-652-4166
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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 | 1327
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License Number State | SC
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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 | A0000078
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License Number State | MD
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Taxonomy #3
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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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