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Contact Information

AMANDA M MASCARENAS, ATC, CSCS
262 CRESTWOOD LN
RAEFORD, NC28376-7828
 Phone: 540-220-8171
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for AMANDA M MASCARENAS · (Female)

NPI Number 1013598499
Status Active
Credentials ATC, CSCS
Entity Individual
Enumeration date 04/18/2021
Last updated 04/18/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # LAT-4149
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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