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General NPI Number Information
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NPI Number | 1225326309
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Entity Type | Individual
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Provider Name | BRITTANY LEIGH JESSEE DPT
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Gender | Female
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 22114 TERRA CARO CIR
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City | BRISTOL
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State | VA
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Zip | 24202-4120
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Country | US
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Telephone | 423-383-4374
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Fax |
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Provider Business Mailing Address
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Address Line | 22114 TERRA CARO CIR
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City | BRISTOL
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State | VA
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Zip | 24202-4120
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Country | US
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Telephone | 423-383-4374
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 25617
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305206563
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0000008792
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License Number State | TN
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