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General NPI Number Information
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NPI Number | 1821484957
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Entity Type | Individual
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Provider Name | BRITTNI MCLAM DO
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Gender | Female
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 401 W CAMAS AVE
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City | FAIRFIELD
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State | ID
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Zip | 83327
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Country | US
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Telephone | 208-764-2611
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Fax | 208-764-2646
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Provider Business Mailing Address
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Address Line | PO BOX 505
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City | WENDELL
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State | ID
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Zip | 83355-0505
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Country | US
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Telephone | 208-536-3995
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | O-1325
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License Number State | ID
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