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General NPI Number Information
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NPI Number | 1972825107
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Entity Type | Individual
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Provider Name | JENNIFER NICOLE EDMUNDS ATC, CSCS
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Gender | Female
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Dates
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Enumeration Date | 02/15/2010
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 2 FORGE PKWY
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City | FRANKLIN
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State | MA
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Zip | 02038-3157
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Country | US
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Telephone | 508-528-2748
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Fax |
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Provider Business Mailing Address
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Address Line | 20 PARK RD
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City | FRANKLIN
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State | MA
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Zip | 02038-1709
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Country | US
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Telephone | 207-730-1371
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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 | 1757
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License Number State | MA
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