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General NPI Number Information
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NPI Number | 1699617589
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Entity Type | Individual
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Provider Name | SHAKRIA BRITTANY BRANCH
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Gender | Female
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 1640 AXTELL DR
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City | TROY
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State | MI
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Zip | 48084-4431
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Country | US
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Telephone | 586-301-9904
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Fax |
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Provider Business Mailing Address
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Address Line | 34711 AQUARIUS DR APT C112
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-5615
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Country | US
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Telephone | 586-301-9904
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 7501017259
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License Number State | MI
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