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General NPI Number Information
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NPI Number | 1942715693
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Entity Type | Individual
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Provider Name | GABRIELLE ARGUELLES MAYO PA, ATC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2017
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 800 S MAIN ST
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City | HARRISONBURG
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State | VA
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Zip | 22807-3841
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Country | US
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Telephone | 614-832-4182
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Fax |
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Provider Business Mailing Address
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Address Line | 115 CONFEDERATE ST
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City | VERONA
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State | VA
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Zip | 24482-2808
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Country | US
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Telephone | 614-832-4182
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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 | 0126002860
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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