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NPI 1821030883

NPI 1821030883 : SCOTT V. GARNER ATC : EUGENE, OR

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General NPI Number Information
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    NPI Number           |    1821030883
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    Entity Type          |    Individual 
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    Provider Name        |    SCOTT V. GARNER ATC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/12/2006
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    Last Update Date     |    09/12/2007
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Provider Practice Location Address
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    Address Line         |    4000 E. 30TH AVE ATHLETICS
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    City                 |    EUGENE
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    State                |    OR
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    Zip                  |    97405
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    Country              |    US
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    Telephone            |    541-556-3946
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2244 N 8TH ST 
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    City                 |    SPRINGFIELD
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    State                |    OR
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    Zip                  |    97477-2227
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    Country              |    US
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    Telephone            |    541-556-3946
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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       |    
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    License Number State |    
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