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NPI 1841576121

NPI 1841576121 : APRIL PEROTTI MS, ATC, AT, CSCS : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1841576121
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    Entity Type          |    Individual 
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    Provider Name        |    APRIL PEROTTI MS, ATC, AT, CSCS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/31/2011
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    Last Update Date     |    10/31/2011
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Provider Practice Location Address
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    Address Line         |    1202 W THOMAS RD 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85013-4208
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    Country              |    US
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    Telephone            |    602-285-7343
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1202 W THOMAS RD 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85013-4208
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    Country              |    US
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    Telephone            |    602-285-7343
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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       |    0611
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    License Number State |    AZ
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