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General NPI Number Information
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NPI Number | 1093922999
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Entity Type | Individual
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Provider Name | CAROL JEANNE BRIGGS PTA
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4045 OWEN RD
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City | FENTON
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State | MI
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Zip | 48430-9100
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Country | US
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Telephone | 810-750-2222
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Fax | 810-750-2978
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Provider Business Mailing Address
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Address Line | 5138 OAKVIEW DR
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City | SWARTZ CREEK
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State | MI
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Zip | 48473-1252
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Country | US
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Telephone | 810-630-2652
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State | MI
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