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General NPI Number Information
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NPI Number | 1164856977
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Entity Type | Individual
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Provider Name | BRITTANY RIAN WEST PTA
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Gender | Female
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 731 N KLEIN CIR
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City | DERBY
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State | KS
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Zip | 67037-7011
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Country | US
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Telephone | 316-440-9617
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S EASTRIDGE ST
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City | VALLEY CENTER
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State | KS
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Zip | 67147-4715
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Country | US
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Telephone | 316-807-8280
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 14-02438
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License Number State | KS
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