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General NPI Number Information
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NPI Number | 1881365153
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Entity Type | Individual
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Provider Name | JUSTIN BROY ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 09/25/2021
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Last Update Date | 09/25/2021
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Provider Practice Location Address
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Address Line | 1800 ADMIRAL SHEEHY DR
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City | DUBUQUE
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State | IA
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Zip | 52001-2379
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Country | US
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Telephone | 563-583-4949
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Fax |
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Provider Business Mailing Address
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Address Line | 3410 ROUTE 5 W
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City | HAZEL GREEN
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State | WI
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Zip | 53811-9700
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Country | US
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Telephone | 207-318-6229
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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 | 110868
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License Number State | IA
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