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General NPI Number Information
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NPI Number | 1184990566
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Entity Type | Individual
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Provider Name | MS. BRITTANY DANIELLE PRICE
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Gender | Female
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 251 MISTY ISLE LN. # A
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City | LAS VEGAS
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State | NV
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Zip | 89107-1138
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Country | US
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Telephone | 702-339-4959
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Fax |
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Provider Business Mailing Address
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Address Line | 251 MISTY ISLE LN. # A
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City | LAS VEGAS
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State | NV
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Zip | 89107
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Country | US
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Telephone | 702-339-4959
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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