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General NPI Number Information
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NPI Number | 1215578448
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Entity Type | Individual
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Provider Name | MARY ALEXIS BRITT
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Gender | Female
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Dates
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Enumeration Date | 09/29/2019
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Last Update Date | 09/29/2019
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Provider Practice Location Address
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Address Line | 1212 S WALNUT ST
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City | FAIRMONT
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State | NC
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Zip | 28340-1848
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Country | US
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Telephone | 910-734-8592
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Fax |
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Provider Business Mailing Address
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Address Line | 2054 WILLOW STONE CT
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City | LELAND
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State | NC
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Zip | 28451-3110
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Country | US
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Telephone | 910-734-8592
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 29196
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License Number State | NC
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