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General NPI Number Information
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NPI Number | 1871417279
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Entity Type | Organization
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Legal Business Name | BLADDER BEHAVIOR, PLLC
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 500 W TRADE ST. STE 212
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City | CHARLOTTE
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State | NC
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Zip | 28202
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Country | US
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Telephone | 240-505-4891
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Fax |
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Provider Business Mailing Address
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Address Line | 2230 N GRAHAM ST
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City | CHARLOTTE
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State | NC
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Zip | 28206-2504
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | BRITTANY ELAINE JONES
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Credential | PA-C
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Telephone | 240-505-4891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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