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General NPI Number Information
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NPI Number | 1326772435
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Entity Type | Individual
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Provider Name | BRITTANI HOLLAND GONZALEZ MCD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 4704 JANICE AVE
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City | KENNER
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State | LA
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Zip | 70065-3339
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Country | US
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Telephone | 504-444-2819
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Fax |
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Provider Business Mailing Address
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Address Line | 9234 4TH ST
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City | RIVER RIDGE
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State | LA
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Zip | 70123-2812
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7291
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License Number State | LA
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