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NPI Code Detail

MEDICARE: JANELLE ARIANNA ABARCA

MEDICARE: JANELLE ARIANNA ABARCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1013547678
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE ARIANNA ABARCA
Provider Business Mailing Address
First Line : 1177 DEVONSHIRE EAST DR APT F
Second Line :
City : GREENWOOD
State : IN
Zip : 46143-6966
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2087 ACORN BLVD LOWR LEVEL
Second Line :
City : FRANKLIN
State : IN
Zip : 46131-7306
Country : US
Telephone Number : 773-349-1989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2020
Last Update Date : 01/23/2020

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Directions to “ JANELLE ARIANNA ABARCA ” Practice Location

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