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General NPI Number Information
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NPI Number | 1588007009
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Entity Type | Individual
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Provider Name | BRITTANY JO GREGORY LMFT121310
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Gender | Female
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 355 GELLERT BLVD STE 257
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City | DALY CITY
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State | CA
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Zip | 94015-2676
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Country | US
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Telephone | 725-272-5298
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Fax |
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Provider Business Mailing Address
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Address Line | 150 S NEVADA HIGHWAY 160 STE 8-399
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City | PAHRUMP
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State | NV
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Zip | 89048-2176
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Country | US
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Telephone | 725-272-5298
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT121310
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License Number State | CA
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