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General NPI Number Information
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NPI Number | 1497399919
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Entity Type | Individual
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Provider Name | AMY DIANE BRIGMAN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/29/2019
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 209 N CAMELLIA BLVD
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City | FORT VALLEY
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State | GA
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Zip | 31030-3368
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Country | US
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Telephone | 478-822-0054
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Fax | 478-822-0059
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Provider Business Mailing Address
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Address Line | 209 N CAMELLIA BLVD
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City | FORT VALLEY
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State | GA
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Zip | 31030-3368
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Country | US
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Telephone | 478-822-0054
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Fax | 478-822-0059
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-NP236405
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209-031785
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5020931
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209-031785
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License Number State | IL
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