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General NPI Number Information
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NPI Number | 1255960621
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Entity Type | Individual
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Provider Name | BRITTANY NICOLE UNGER PTA
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Gender | Female
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 620 WINCHESTER AVE
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City | KINSLEY
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State | KS
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Zip | 67547-2348
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Country | US
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Telephone | 620-659-2156
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Fax |
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Provider Business Mailing Address
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Address Line | 601 W 12TH ST
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City | MC COOK
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State | NE
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Zip | 69001-2920
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Country | US
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Telephone | 308-737-6588
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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