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General NPI Number Information
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NPI Number | 1609514553
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Entity Type | Individual
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Provider Name | BRITTANY MOORE MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/21/2022
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Last Update Date | 05/21/2022
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Provider Practice Location Address
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Address Line | 8413 SASANQUA CIR
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City | SEMMES
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State | AL
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Zip | 36575-5551
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Country | US
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Telephone | 251-463-0966
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Fax |
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Provider Business Mailing Address
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Address Line | 8413 SASANQUA CIR
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City | SEMMES
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State | AL
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Zip | 36575-5551
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Country | US
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Telephone | 251-463-0966
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3572
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 21727
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License Number State | CA
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