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General NPI Number Information
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NPI Number | 1881083087
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Entity Type | Individual
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Provider Name | DEVON FORBES FRANCES SERRANO MS, ATC
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Gender | Female
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 77 TEXAS AVE
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City | SEWANEE
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State | TN
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Zip | 37383-0001
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Country | US
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Telephone | 931-598-1293
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Fax | 931-598-3149
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Provider Business Mailing Address
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Address Line | PO BOX 4
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City | SEWANEE
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State | TN
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Zip | 37375-0004
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Country | US
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Telephone | 914-572-0317
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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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