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General NPI Number Information
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NPI Number | 1457161457
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Entity Type | Individual
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Provider Name | BRITTNEY IRENE CHAMPAGNE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 10606 N MALL DR
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City | BATON ROUGE
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State | LA
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Zip | 70809-4800
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Country | US
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Telephone | 225-291-8104
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Fax |
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Provider Business Mailing Address
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Address Line | 30174 SANCTUARY BLVD
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-1903
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Country | US
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Telephone | 504-913-5681
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PST.025593
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License Number State | LA
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