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General NPI Number Information
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NPI Number | 1275627721
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Entity Type | Individual
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Provider Name | MARK S BRITAIN LPC
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1901 MEDIPARK SUITE 222
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City | AMARILLO
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State | TX
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Zip | 79106
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Country | US
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Telephone | 806-352-5582
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Fax | 806-352-5596
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Provider Business Mailing Address
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Address Line | P O BOX 50360
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City | AMARILLO
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State | TX
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Zip | 79159-0360
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Country | US
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Telephone | 806-351-1560
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Fax | 806-351-0343
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10974
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License Number State | TX
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