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General NPI Number Information
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NPI Number | 1609350487
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Entity Type | Individual
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Provider Name | BRITTNY ARIELLE ANTOINE DACM
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Gender | Female
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 803 COOLIDGE BLVD STE 128
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City | LAFAYETTE
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State | LA
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Zip | 70503-2375
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Country | US
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Telephone | 337-418-9458
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Fax | 337-294-0305
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Provider Business Mailing Address
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Address Line | 209 HIGHLAND OAKS LANE APT 202
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City | LAFAYETTE
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State | LA
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Zip | 70508
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Country | US
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Telephone | 337-577-0594
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 308543
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License Number State | LA
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