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General NPI Number Information
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NPI Number | 1811725062
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Entity Type | Individual
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Provider Name | BRITTANY BURRELL RDH
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Gender | Female
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Dates
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Enumeration Date | 07/22/2024
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 306 W WASHINGTON AVE STE 205
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City | JACKSON
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State | MI
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Zip | 49201-2141
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Country | US
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Telephone | 517-787-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 660 WRIGHT ST
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City | JONESVILLE
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State | MI
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Zip | 49250-9413
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Country | US
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Telephone | 517-990-4300
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 2902019198
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License Number State | MI
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