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General NPI Number Information
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NPI Number | 1770175432
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Entity Type | Individual
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Provider Name | BRITTANY AUTRY PHARM D
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Gender | Female
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 225 W PONCE DE LEON AVE
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City | DECATUR
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State | GA
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Zip | 30030-3270
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Country | US
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Telephone | 962-740-4373
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Fax |
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Provider Business Mailing Address
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Address Line | 1980 DELPHINE DR
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City | DECATUR
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State | GA
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Zip | 30032-3969
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Country | US
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Telephone | 404-725-1158
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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 | 16604
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH026191
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License Number State | GA
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