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General NPI Number Information
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NPI Number | 1477314375
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Entity Type | Individual
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Provider Name | BRITTANY JOANNA WHITE RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 270 FARMINGTON AVE STE 304
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City | FARMINGTON
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State | CT
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Zip | 06032-1952
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Country | US
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Telephone | 860-255-8583
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Fax |
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Provider Business Mailing Address
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Address Line | 26 TRAM DR
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City | OXFORD
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State | CT
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Zip | 06478-1827
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Country | US
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Telephone | 203-232-0718
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 211427
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License Number State | CT
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