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General NPI Number Information
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NPI Number | 1114770831
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Entity Type | Individual
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Provider Name | BRITTNEY TYSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 3373 COMMERCE PKWY STE 2
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City | WOOSTER
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State | OH
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Zip | 44691-7130
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Country | US
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Telephone | 330-804-9712
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Fax | 330-804-9811
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Provider Business Mailing Address
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Address Line | 6704 STATE ROUTE 754
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City | MILLERSBURG
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State | OH
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Zip | 44654-9718
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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