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General NPI Number Information
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NPI Number | 1497447486
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Entity Type | Individual
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Provider Name | BRITTANY TAYLOR NEUDECKER OD
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Gender | Female
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 3873 STATE ROUTE 31 STE 110
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City | LIVERPOOL
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State | NY
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Zip | 13090-1489
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Country | US
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Telephone | 315-652-5962
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Fax |
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Provider Business Mailing Address
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Address Line | 3372 LONGVIEW TER
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-4306
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Country | US
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Telephone | 256-596-0278
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | RT009917-01
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License Number State | NY
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