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General NPI Number Information
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NPI Number | 1114451952
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Entity Type | Organization
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Legal Business Name | BRITTANY G HOUSE A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 2114 HIGHWAY 80
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City | HAUGHTON
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State | LA
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Zip | 71037-9497
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Country | US
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Telephone | 318-949-8344
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Fax | 318-617-5053
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Provider Business Mailing Address
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Address Line | 2114 HIGHWAY 80
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City | HAUGHTON
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State | LA
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Zip | 71037-9497
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Country | US
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Telephone | 318-949-8344
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Fax | 318-617-5053
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JAMIE WILLIAMSON
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Credential |
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Telephone | 318-949-8344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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