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NPI 1235794686

NPI 1235794686 : BRITTANY M GEORGE DPT : AVONDALE, AZ

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General NPI Number Information
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    NPI Number           |    1235794686
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    Entity Type          |    Individual 
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    Provider Name        |    BRITTANY M GEORGE DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/01/2019
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    Last Update Date     |    12/10/2020
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Provider Practice Location Address
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    Address Line         |    350 E LA CANADA BLVD 
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    City                 |    AVONDALE
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    State                |    AZ
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    Zip                  |    85323-1643
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    Country              |    US
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    Telephone            |    623-932-2282
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    401 PUMPING STATION RD 
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    City                 |    GETTYSBURG
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    State                |    PA
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    Zip                  |    17325-7174
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    Country              |    US
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    Telephone            |    717-253-0628
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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       |    LPT-30586
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    License Number State |    AZ
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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       |    24173
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    License Number State |    MA
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