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General NPI Number Information
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NPI Number | 1548961162
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Entity Type | Individual
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Provider Name | BRITTNI K AMOS CNA, CMA
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Gender | Female
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Dates
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Enumeration Date | 03/10/2023
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 450 NEWNAN LAKES BLVD
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City | NEWNAN
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State | GA
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Zip | 30263-6342
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Country | US
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Telephone | 770-400-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 5811 KINGS GAP RD
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City | SHILOH
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State | GA
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Zip | 31826-2701
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Country | US
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Telephone | 706-577-2927
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CN0030041024
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License Number State | GA
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