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General NPI Number Information
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NPI Number | 1952454357
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Entity Type | Individual
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Provider Name | CHRISTINA CHIRCO ATC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7878 SHARK WAY
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City | NAPLES
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State | FL
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Zip | 34119-6751
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Country | US
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Telephone | 239-377-1400
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Fax | 239-377-1594
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Provider Business Mailing Address
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Address Line | 8304 KEY ROYAL CIR APT 1733
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City | NAPLES
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State | FL
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Zip | 34119-6804
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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 | AL 1750
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License Number State | FL
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