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General NPI Number Information
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NPI Number | 1962818971
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Entity Type | Individual
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Provider Name | TAYLOR STEPHANIE ARMAN ATC
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Gender | Female
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 30 N BRAINARD ST
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City | NAPERVILLE
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State | IL
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Zip | 60540-4607
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Country | US
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Telephone | 630-637-5575
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Fax |
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Provider Business Mailing Address
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Address Line | 347 W CARRIAGE LN
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City | BENSENVILLE
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State | IL
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Zip | 60106-4119
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Country | US
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Telephone | 630-363-1922
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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 | 096003284
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License Number State | IL
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