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General NPI Number Information
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NPI Number | 1588403216
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Entity Type | Individual
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Provider Name | BRITTANII FLORENE TAYLOR MARSH
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Gender | Female
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 28 COASTAL MANOR DR
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City | LUDOWICI
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State | GA
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Zip | 31316
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Country | US
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Telephone | 339-291-2545
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Fax |
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Provider Business Mailing Address
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Address Line | 209 BENDER ST
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City | HINESVILLE
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State | GA
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Zip | 31313-8081
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Country | US
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Telephone | 904-651-9270
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA002819
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License Number State | GA
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