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General NPI Number Information
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NPI Number | 1144779836
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Entity Type | Individual
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Provider Name | BRITTANY PARKER OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 2205 RIDGECREST DR
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City | FARMINGTON
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State | NM
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Zip | 87401-3405
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Country | US
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Telephone | 505-716-3060
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 RIDGECREST DR
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City | FARMINGTON
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State | NM
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Zip | 87401-3405
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Country | US
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Telephone | 505-716-3060
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 009021
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OTA.0000871
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT4271
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License Number State | NM
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