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General NPI Number Information
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NPI Number | 1659859825
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Entity Type | Individual
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Provider Name | BRITNEY NICOLE REYNOLDS LPC-A
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Gender | Female
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 709 N BROAD ST
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City | EDENTON
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State | NC
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Zip | 27932-1430
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Country | US
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Telephone | 252-482-2186
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Fax |
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Provider Business Mailing Address
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Address Line | 489 HARBOUR VIEW DR
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City | KILL DEVIL HILLS
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State | NC
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Zip | 27948-8632
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Country | US
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Telephone | 760-333-3838
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A14174
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License Number State | NC
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