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General NPI Number Information
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NPI Number | 1821631912
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Entity Type | Individual
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Provider Name | BRITTANY HALL KENNEDY NP
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Gender | Female
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 1083 BOILING SPRINGS RD
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City | SPARTANBURG
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State | SC
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Zip | 29303-2298
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Country | US
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Telephone | 864-583-8647
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Fax | 864-542-2227
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Provider Business Mailing Address
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Address Line | 1083 BOILING SPRINGS RD
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City | SPARTANBURG
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State | SC
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Zip | 29303-2298
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Country | US
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Telephone | 864-583-8647
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Fax | 864-542-2227
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 23362
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 228752
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License Number State | SC
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