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General NPI Number Information
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NPI Number | 1801520713
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Entity Type | Individual
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Provider Name | BRITTNEY ANN CASEY GRAY PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 740 S LIMESTONE STE J233
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City | LEXINGTON
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State | KY
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Zip | 40536-2333
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Country | US
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Telephone | 859-562-2597
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Fax | 859-218-7723
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Provider Business Mailing Address
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Address Line | 1923 SULPHUR SPRINGS RD
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City | MORRISTOWN
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State | TN
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Zip | 37813-5654
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Country | US
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Telephone | 423-317-9344
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Fax | 423-714-2355
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 287147
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License Number State | KY
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