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General NPI Number Information
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NPI Number | 1689497208
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Entity Type | Individual
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Provider Name | BRITTANY ANNE LAVY
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 4611 EAST RD
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City | ELIDA
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State | OH
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Zip | 45807-1520
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Country | US
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Telephone | 419-230-3802
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Fax |
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Provider Business Mailing Address
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Address Line | 302 W PLUM ST
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City | WAPAKONETA
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State | OH
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Zip | 45895-2232
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Country | US
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Telephone | 419-230-3802
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | L6J4H3B6
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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