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General NPI Number Information
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NPI Number | 1487227997
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Entity Type | Organization
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Legal Business Name | BRIGETTE'S TECHNOLOGY CONSULTING AND RESEARCH FIRM
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 105 WILSON CIR
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City | NEWNAN
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State | GA
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Zip | 30263-5594
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Country | US
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Telephone | 770-365-7577
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Fax | 770-251-6765
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Provider Business Mailing Address
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Address Line | 105 WILSON CIR
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City | NEWNAN
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State | GA
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Zip | 30263-5594
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Country | US
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Telephone | 770-365-7577
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Fax |
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Authorized Official
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Title or Position | RESEARCHER/CLIA-WAIVED LABORATORY
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Name | PROF. BRENDA LYNN NELSON-PORTER
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Credential | ND
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Telephone | 770-365-7577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QG0250X
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Taxonomy Name | Genetics Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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