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General NPI Number Information
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NPI Number | 1992494280
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Entity Type | Individual
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Provider Name | DAWN CORBIN ATC, MED
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Gender | Female
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Dates
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Enumeration Date | 05/03/2023
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 1600 BURRSTONE RD
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City | UTICA
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State | NY
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Zip | 13502-4857
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Country | US
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Telephone | 315-792-3377
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Fax | 315-223-2403
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Provider Business Mailing Address
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Address Line | 602 STEELE PL
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City | UTICA
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State | NY
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Zip | 13501-5146
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Country | US
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Telephone | 717-977-3636
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Fax | 315-223-2403
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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 | 001863
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License Number State | NY
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