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General NPI Number Information
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NPI Number | 1538598701
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Entity Type | Individual
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Provider Name | BRITTANY MIDDLETON M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 10833 LE CONTE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90095-1029
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Country | US
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Telephone | 310-267-0119
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Fax |
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Provider Business Mailing Address
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Address Line | 2131 S BEVERLY GLEN BLVD APT 1
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City | LOS ANGELES
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State | CA
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Zip | 90025-6674
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Country | US
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Telephone | 615-943-8344
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A127537
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License Number State | CA
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