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General NPI Number Information
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NPI Number | 1174907893
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Entity Type | Individual
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Provider Name | BRITTANY MINOR LEE APRN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 137 MIRACLE DR
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City | AIKEN
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State | SC
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Zip | 29801-6351
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Country | US
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Telephone | 803-641-4874
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Fax | 803-641-0436
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Provider Business Mailing Address
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Address Line | 367 S GULPH RD ATTN IPM CREDENTIALING
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3121
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Country | US
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Telephone | 803-641-4874
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Fax | 803-641-0436
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 19609
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19609
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License Number State | SC
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