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General NPI Number Information
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NPI Number | 1225693294
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Entity Type | Individual
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Provider Name | BRITTANY YOUNG BAKER FNP
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Gender | Female
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 2501 VALLEY RIDGE RD
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City | COVINGTON
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State | VA
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Zip | 24426-6339
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Country | US
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Telephone | 540-862-4146
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Fax |
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Provider Business Mailing Address
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Address Line | 821 ONEIDA TRL
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City | COVINGTON
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State | VA
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Zip | 24426-6919
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Country | US
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Telephone | 540-969-8187
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024177566
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License Number State | VA
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