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General NPI Number Information
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NPI Number | 1497357909
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Entity Type | Individual
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Provider Name | BRITTNEY VICTORIA HAYSLETT
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Gender | Female
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 6256 TOPANGA CANYON BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2282
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Country | US
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Telephone | 310-651-9807
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Fax |
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Provider Business Mailing Address
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Address Line | 939 E AVENUE Q12 APT 240A
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City | PALMDALE
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State | CA
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Zip | 93550-5345
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Country | US
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Telephone | 661-573-1012
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 74302
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License Number State | CA
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