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General NPI Number Information
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NPI Number | 1245767326
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Entity Type | Individual
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Provider Name | BRITTANY FOX PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/19/2017
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 201 W GUADALUPE RD STE 313
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City | GILBERT
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State | AZ
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Zip | 85233-3334
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Country | US
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Telephone | 480-892-0808
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Fax |
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Provider Business Mailing Address
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Address Line | 2045 S MCCLINTOCK DR APT 232
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City | TEMPE
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State | AZ
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Zip | 85282-1630
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Country | US
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Telephone | 636-584-4878
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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 | 2017003428
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License Number State | MO
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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 | 13739
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License Number State | AZ
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