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General NPI Number Information
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NPI Number | 1134947476
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Entity Type | Individual
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Provider Name | BRITTANY MACY
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Gender | Female
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 311 W INDIANTOWN RD STE 201
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City | JUPITER
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State | FL
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Zip | 33458-3536
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Country | US
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Telephone | 561-436-5996
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Fax |
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Provider Business Mailing Address
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Address Line | 320 CHAMBERLAIN BLVD
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City | FORT PIERCE
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State | FL
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Zip | 34946-1803
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Country | US
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Telephone | 772-979-1902
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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 | 11034485
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License Number State | FL
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