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General NPI Number Information
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NPI Number | 1598494429
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Entity Type | Individual
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Provider Name | BRITT TAVEL
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Gender | Female
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 2328 4TH ST STE 403
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City | TUSCALOOSA
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State | AL
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Zip | 35401-1038
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Country | US
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Telephone | 205-310-1184
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Fax |
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Provider Business Mailing Address
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Address Line | 2026 BRANDONWOOD RD
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City | TUSCALOOSA
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State | AL
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Zip | 35406-1590
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Country | US
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Telephone | 205-310-1184
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5052C
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License Number State | AL
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