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General NPI Number Information
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NPI Number | 1265097844
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Entity Type | Individual
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Provider Name | BRITTNEY MAYO RN, CIT
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Gender | Female
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 1120 GOVERNMENT ST
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City | BATON ROUGE
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State | LA
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Zip | 70802-4802
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Country | US
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Telephone | 225-256-0110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 456
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City | ZACHARY
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State | LA
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Zip | 70791-0456
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Country | US
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Telephone | 225-250-8717
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Fax | 225-256-4210
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CIT-5785
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN142573
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License Number State | LA
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