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General NPI Number Information
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NPI Number | 1912554700
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Entity Type | Individual
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Provider Name | BRITTANY PAIGE RIDDICK DPT
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Gender | Female
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 3051 FREDERICK RD STE 4
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City | OPELIKA
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State | AL
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Zip | 36801-7143
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Country | US
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Telephone | 334-329-6508
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Fax |
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Provider Business Mailing Address
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Address Line | 251 JOHNSTON ST SE STE 300
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City | DECATUR
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State | AL
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Zip | 35601-2535
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Country | US
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Telephone | 256-350-1764
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 014158
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH10645
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License Number State | AL
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