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General NPI Number Information
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NPI Number | 1588254304
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Entity Type | Individual
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Provider Name | BRITTANY SIMMONS RD, LD, NBC-HWC, RYT
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Gender | Female
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 102 RUNNELS AVE
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City | LONG BEACH
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State | MS
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Zip | 39560-5828
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Country | US
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Telephone | 228-297-7231
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Fax |
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Provider Business Mailing Address
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Address Line | 102 RUNNELS AVE
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City | LONG BEACH
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State | MS
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Zip | 39560-5828
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Country | US
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Telephone |
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | D1366
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License Number State | MS
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