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General NPI Number Information
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NPI Number | 1861778391
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Entity Type | Individual
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Provider Name | MARCO GIULIANI ATC
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Gender | Male
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Dates
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Enumeration Date | 10/28/2011
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 508 BROOKE LANE CLARKSON-MCKENNA HALL
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City | LEXINGTON
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State | VA
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Zip | 24450
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Country | US
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Telephone | 540-464-7612
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Fax |
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Provider Business Mailing Address
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Address Line | 25 BEVERLY CT APT. 5
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City | LEXINGTON
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State | VA
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Zip | 24450-3386
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Country | US
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Telephone |
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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 | RTO000114
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License Number State | PA
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