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General NPI Number Information
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NPI Number | 1538761929
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Entity Type | Individual
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Provider Name | BRITTANY LEE LSW
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Gender | Female
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 3605 EDGMONT AVE
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City | BROOKHAVEN
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State | PA
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Zip | 19015-2862
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Country | US
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Telephone | 631-806-1927
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Fax |
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Provider Business Mailing Address
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Address Line | 1522 N BOWLING GREEN DR
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3628
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Country | US
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Telephone | 631-806-1927
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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