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General NPI Number Information
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NPI Number | 1073964946
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Entity Type | Individual
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Provider Name | BRITTANY ROBERTS
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Gender | Female
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 5003 HARDY ST STE 200
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City | HATTIESBURG
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State | MS
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Zip | 39402-1331
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Country | US
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Telephone | 601-261-5700
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Fax | 601-261-5777
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Provider Business Mailing Address
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Address Line | 234 S 12TH AVE
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City | LAUREL
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State | MS
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Zip | 39440-4325
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Country | US
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Telephone | 601-426-4745
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Fax | 601-518-7128
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 901647
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License Number State | MS
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