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General NPI Number Information
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NPI Number | 1053599969
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Entity Type | Individual
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Provider Name | MR. RON DARNELL BRITTON
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Gender | Male
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 5275 MARKET ST SUITE E
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City | SAN DIEGO
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State | CA
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Zip | 92114-2212
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Country | US
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Telephone | 619-587-6004
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Fax | 619-264-0206
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Provider Business Mailing Address
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Address Line | 5275 MAKET ST SUITE E
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City | SAN DIEGO
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State | CA
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Zip | 92114-2212
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Country | US
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Telephone | 619-587-6004
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Fax | 619-264-0206
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | MPSS-LKIWBG
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License Number State | CA
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