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General NPI Number Information
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NPI Number | 1801466388
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Entity Type | Individual
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Provider Name | BRITTANY KIERRA PHILLIPS LCAS-A
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Gender | Female
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 2577 RAVENHILL DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-5451
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Country | US
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Telephone | 910-658-2397
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Fax |
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Provider Business Mailing Address
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Address Line | 817 E DIVINE ST
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City | DUNN
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State | NC
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Zip | 28334-5119
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Country | US
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Telephone | 910-658-2397
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 26979
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License Number State | NC
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