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General NPI Number Information
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NPI Number | 1285240507
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Entity Type | Individual
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Provider Name | BRIANA KING
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Gender | Female
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 2100 COMER AVE
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City | COLUMBUS
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State | GA
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Zip | 31904-8725
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Country | US
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Telephone | 705-596-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 COLLEGE DR APT 1909
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City | PHENIX CITY
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State | AL
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Zip | 36869-2027
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Country | US
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Telephone | 216-855-6333
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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