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General NPI Number Information
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NPI Number | 1457653008
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Entity Type | Individual
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Provider Name | MICHELLE PUSATERI BRITTON RPH
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Gender | Female
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 102 CATHERINE LN
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5701
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Country | US
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Telephone | 530-277-4037
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Fax | 530-478-1866
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Provider Business Mailing Address
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Address Line | 13222 WOODHAVEN LN
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City | NEVADA CITY
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State | CA
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Zip | 95959-8211
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Country | US
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Telephone | 530-277-4037
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Fax | 530-478-1866
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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 | 44297
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License Number State | CA
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