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General NPI Number Information
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NPI Number | 1477976595
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Entity Type | Individual
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Provider Name | BRITTANI WHITE ATC
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Gender | Female
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Dates
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Enumeration Date | 01/24/2014
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Last Update Date | 01/24/2014
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Provider Practice Location Address
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Address Line | 2646 PATTERSON RD SUITE A
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-1941
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Country | US
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Telephone | 970-241-5585
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Fax | 970-242-1740
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Provider Business Mailing Address
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Address Line | 2646 PATTERSON RD SUITE A
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-1941
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Country | US
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Telephone | 970-241-5585
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Fax | 970-242-1740
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT.0001253
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License Number State | CO
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