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General NPI Number Information
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NPI Number | 1275183048
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Entity Type | Individual
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Provider Name | KELLI LYNN BRITTON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/13/2019
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 3509 GRANBY ST STE B
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City | NORFOLK
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State | VA
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Zip | 23504-1312
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Country | US
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Telephone | 757-423-8885
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Fax | 757-423-8886
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Provider Business Mailing Address
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Address Line | 1311 MAMARONECK AVE STE 140
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City | WHITE PLAINS
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State | NY
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Zip | 10605-5224
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Country | US
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Telephone | 914-294-5040
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Fax | 631-760-8306
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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 | 5501019265
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License Number State | MI
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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 | 2305214237
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License Number State | VA
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