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General NPI Number Information
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NPI Number | 1407319742
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Entity Type | Individual
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Provider Name | HEATHER DANN BRITT MOTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/12/2019
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Last Update Date | 04/12/2019
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Provider Practice Location Address
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Address Line | 5838 HARBOUR VIEW BLVD STE 130
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City | SUFFOLK
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State | VA
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Zip | 23435-2698
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Country | US
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Telephone | 757-673-5971
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Fax |
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Provider Business Mailing Address
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Address Line | 6132 W BLACKWATER RD
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City | ZUNI
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State | VA
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Zip | 23898-3002
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 0119007533
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License Number State | VA
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