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General NPI Number Information
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NPI Number | 1720903404
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Entity Type | Individual
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Provider Name | BRITTANY JADE RUSSELL
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Gender | Female
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 159 KY ROUTE 680 EAST
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City | HAROLD
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State | KY
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Zip | 41635
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Country | US
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Telephone | 606-478-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 6926 KY ROUTE 2030
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City | BANNER
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State | KY
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Zip | 41603-8998
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Country | US
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Telephone | 606-331-1896
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 025948
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License Number State | KY
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