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General NPI Number Information
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NPI Number | 1215518428
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Entity Type | Individual
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Provider Name | BRITTANY GUITAR
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Gender | Female
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 5400 S UNIVERSITY DR STE 502
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City | DAVIE
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State | FL
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Zip | 33328-5313
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Country | US
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Telephone | 877-516-4907
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Fax |
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Provider Business Mailing Address
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Address Line | 9540 NW 65TH ST
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City | TAMARAC
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State | FL
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Zip | 33321-3501
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Country | US
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Telephone | 754-214-3571
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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