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General NPI Number Information
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NPI Number | 1881987469
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Entity Type | Individual
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Provider Name | DENISE K ALBRITTON LMT
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Gender | Female
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 28487 STATE HWY W
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City | WARRENTON
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State | MO
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Zip | 63383-4629
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Country | US
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Telephone | 636-359-0225
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Fax |
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Provider Business Mailing Address
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Address Line | 29604 W STATE HIGHWAY 94
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City | MARTHASVILLE
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State | MO
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Zip | 63357-3518
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Country | US
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Telephone | 636-932-4623
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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 | 2008012538
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License Number State | MO
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