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General NPI Number Information
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NPI Number | 1386294304
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Entity Type | Individual
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Provider Name | BRITTANY ANNE MCCLUSKY MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 955 BARNHILL RD
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City | SILSBEE
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State | TX
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Zip | 77656-3422
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Country | US
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Telephone | 409-791-1365
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Fax |
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Provider Business Mailing Address
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Address Line | 955 BARNHILL RD
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City | SILSBEE
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State | TX
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Zip | 77656-3422
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Country | US
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Telephone | 409-791-1365
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 837096
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP143160
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License Number State | TX
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