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General NPI Number Information
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NPI Number | 1790903698
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Entity Type | Individual
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Provider Name | ERIK MATTHEW BARKLEY MS, ATC, NASM-PES
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Gender | Male
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 49 DODS HALL FREDONIA STATE UNIVERSITY
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City | FREDONIA
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State | NY
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Zip | 14063
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Country | US
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Telephone | 716-673-3104
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Fax |
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Provider Business Mailing Address
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Address Line | 29 DAY ST
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City | FREDONIA
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State | NY
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Zip | 14063-1829
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Country | US
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Telephone | 716-673-3104
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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 | AT-002134
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License Number State | OH
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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 |
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License Number State | NY
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