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General NPI Number Information
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NPI Number | 1013695659
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Entity Type | Individual
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Provider Name | BRITTANY LAUREN HALL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 1645 W GOVERNMENT ST STE F
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City | BRANDON
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State | MS
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Zip | 39042-4602
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Country | US
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Telephone | 601-829-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 HIGHLAND COLONY PKWY STE 219
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City | RIDGELAND
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State | MS
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Zip | 39157-6079
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Country | US
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Telephone | 601-487-9199
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 906075
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License Number State | MS
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