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General NPI Number Information
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NPI Number | 1871911313
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Entity Type | Individual
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Provider Name | BRITTANY PAYNE
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Gender | Female
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 902 GARLAND ST E
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City | WEST SALEM
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State | WI
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Zip | 54669-1308
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Country | US
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Telephone | 608-786-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 25653 ROACH LN
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City | EASTMAN
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State | WI
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Zip | 54626-8762
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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 |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 4962-27
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 201761
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License Number State | MN
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