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General NPI Number Information
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NPI Number | 1659605046
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Entity Type | Individual
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Provider Name | BRITTANY VANSLYKE M.S OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 924 N HOWE ST
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City | SOUTHPORT
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State | NC
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Zip | 28461
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Country | US
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Telephone | 910-454-4708
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Fax |
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Provider Business Mailing Address
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Address Line | 109 NW 6TH ST
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City | OAK ISLAND
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State | NC
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Zip | 28465-7002
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Country | US
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Telephone | 607-331-6969
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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 |
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License Number State |
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