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General NPI Number Information
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NPI Number | 1962934208
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Entity Type | Individual
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Provider Name | STEPHANIE MOONEY MS, ATC
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Gender | Female
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 1 AVENUE OF THE ARTS RATCLIFFE HALL
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3072
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Country | US
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Telephone | 757-594-8117
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Fax |
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Provider Business Mailing Address
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Address Line | 721 BLACKWATER WAY
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-1972
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Country | US
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Telephone | 443-617-0150
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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 | 0126002475
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License Number State | VA
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