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General NPI Number Information
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NPI Number | 1841727823
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Entity Type | Individual
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Provider Name | STACEY A CZAPLEWSKI ATC
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Gender | Female
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 05/22/2017
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Provider Practice Location Address
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Address Line | 175 WEST MARK STREET WINONA STATE UNIVERSITY-139 MEMORIAL HALL
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City | WINONA
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State | MN
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Zip | 55987
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Country | US
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Telephone | 507-457-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 644 CLARKS LN
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City | WINONA
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State | MN
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Zip | 55987-2543
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Country | US
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Telephone | 507-429-2481
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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 | 1182
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License Number State | MN
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