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General NPI Number Information
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NPI Number | 1598524027
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Entity Type | Individual
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Provider Name | BRITTANY DESHAWN JONES PTA
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Gender | Female
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 251 HIGHWAY 53 E
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City | CALHOUN
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State | GA
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Zip | 30701-3026
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Country | US
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Telephone | 706-509-3949
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 HUNT ST APT 2315
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City | RICHARDSON
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State | TX
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Zip | 75082-0023
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2175279
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License Number State | TX
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