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General NPI Number Information
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NPI Number | 1336587138
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Entity Type | Individual
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Provider Name | BRITTANY FLOOD HATTIER D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 06/28/2019
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Provider Practice Location Address
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Address Line | 100 CHRISTWOOD BLVD
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City | COVINGTON
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State | LA
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Zip | 70433-4606
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Country | US
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Telephone | 985-256-5690
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Fax | 504-383-8943
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Provider Business Mailing Address
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Address Line | 612 MAYWOOD AVE
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City | MONROE
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State | MI
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Zip | 48162-3032
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Country | US
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Telephone | 704-929-9197
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101020645
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 305806
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License Number State | LA
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