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General NPI Number Information
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NPI Number | 1801310255
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Entity Type | Individual
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Provider Name | PIERRE M NESBIT MED, ATC, CES
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Gender | Male
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 1200 S STATE ST
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City | ANN ARBOR
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State | MI
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Zip | 48109-2203
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Country | US
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Telephone | 773-603-5296
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Fax |
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Provider Business Mailing Address
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Address Line | 3825 CEDAR GROVE PKWY APT 303
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City | EAGAN
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State | MN
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Zip | 55122-1458
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Country | US
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Telephone | 773-603-5296
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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 | 2917
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License Number State | MN
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