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General NPI Number Information
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NPI Number | 1588241509
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Entity Type | Individual
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Provider Name | BRITTANY NICOLE GRIFFIN OT
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Gender | Female
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 1577 ROBERTS DR STE 320
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-3266
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Country | US
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Telephone | 904-247-3324
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Fax | 904-247-3926
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Provider Business Mailing Address
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Address Line | PO BOX 117345
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City | ATLANTA
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State | GA
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Zip | 30368-7345
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Country | US
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Telephone | 904-346-3465
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Fax | 904-858-6489
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT21030
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License Number State | FL
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