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General NPI Number Information
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NPI Number | 1669126280
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Entity Type | Organization
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Legal Business Name | TIGERSPRING PSYCHIATRY
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 1025 BEAL PKWY NW
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1446
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Country | US
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Telephone | 440-364-8482
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Fax |
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Provider Business Mailing Address
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Address Line | 2570 PALM SHORES DR
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City | SHALIMAR
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State | FL
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Zip | 32579-1270
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Country | US
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Telephone | 440-364-8482
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRITTANY C WILLIAMS
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Credential | DO
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Telephone | 440-364-8482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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