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General NPI Number Information
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NPI Number | 1649880014
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Entity Type | Individual
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Provider Name | TIFFANY J BRITT CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 2812 HARTFORD HWY
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City | DOTHAN
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State | AL
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Zip | 36305-4927
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Country | US
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Telephone | 334-712-1170
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Fax | 334-460-8391
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Provider Business Mailing Address
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Address Line | 218 CHINKAPIN DR
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City | DOTHAN
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State | AL
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Zip | 36301-4053
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Country | US
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Telephone | 334-796-3796
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1-117907
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License Number State | AL
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