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General NPI Number Information
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NPI Number | 1255694063
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Entity Type | Individual
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Provider Name | BRITTNEY WISE GILBERT DMD
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Gender | Female
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 08/20/2016
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Provider Practice Location Address
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Address Line | 300 JADE PARK STE 302
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City | CHELSEA
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State | AL
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Zip | 35043-8349
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Country | US
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Telephone | 205-678-2096
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Fax | 205-678-2098
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Provider Business Mailing Address
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Address Line | 1932 LAUREL RD STE 2A
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City | VESTAVIA
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State | AL
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Zip | 35216-1945
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Country | US
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Telephone | 205-978-6700
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5924C1
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License Number State | AL
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