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General NPI Number Information
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NPI Number | 1083230197
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Entity Type | Individual
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Provider Name | BRITTANY HICKS NEWELL FNP
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Gender | Female
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 315 FRANKLIN PLZ
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City | LOUISBURG
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State | NC
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Zip | 27549-2765
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Country | US
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Telephone | 919-496-4976
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Fax |
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Provider Business Mailing Address
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Address Line | 152 BARON CIR
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City | YOUNGSVILLE
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State | NC
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Zip | 27596-9607
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Country | US
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Telephone | 919-703-5447
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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 | 5013395
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License Number State | NC
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