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General NPI Number Information
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NPI Number | 1326078841
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Entity Type | Individual
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Provider Name | WALTER KEVIN BRITT M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 09/25/2014
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Provider Practice Location Address
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Address Line | 1801 CLIFTY DR
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City | MADISON
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State | IN
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Zip | 47250-1627
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Country | US
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Telephone | 812-265-6800
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Fax | 812-265-1470
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Provider Business Mailing Address
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Address Line | 1801 CLIFTY DR
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City | MADISON
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State | IN
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Zip | 47250-1627
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Country | US
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Telephone | 812-265-6800
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Fax | 812-265-1470
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01050103
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License Number State | IN
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