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General NPI Number Information
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NPI Number | 1942120001
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Entity Type | Individual
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Provider Name | BRITTAINY HALL
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Gender | Female
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 2111 W POINT RD
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City | LAGRANGE
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State | GA
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Zip | 30240-4047
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Country | US
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Telephone | 706-812-9293
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Fax |
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Provider Business Mailing Address
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Address Line | 125 CANNONGATE CIR
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City | SHARPSBURG
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State | GA
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Zip | 30277-1718
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Country | US
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Telephone | 770-557-4745
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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 | PT010365
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License Number State | GA
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