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General NPI Number Information
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NPI Number | 1114523990
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Entity Type | Individual
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Provider Name | BRITTANY SMITH WILKERSON
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Gender | Female
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 1108 AIRPORT BLVD
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City | PENSACOLA
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State | FL
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Zip | 32504-8628
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Country | US
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Telephone | 850-484-9292
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Fax |
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Provider Business Mailing Address
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Address Line | 108 MCDUFFIE CIR
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City | DAPHNE
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State | AL
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Zip | 36526-7830
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Country | US
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Telephone | 251-581-2824
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 21400
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License Number State | FL
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