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General NPI Number Information
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NPI Number | 1952613168
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Entity Type | Individual
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Provider Name | BRITTANY DAWN CARTER-SNELL DO
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Gender | Female
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 03/17/2017
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Provider Practice Location Address
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Address Line | 72 ERSKINE STREET
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City | DETROIT
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State | MI
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Zip | 48201-2702
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Country | US
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Telephone | 313-338-8007
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Fax | 313-833-7851
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Provider Business Mailing Address
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Address Line | 3152 WOODWARD AVE 4727 SAINT ANTOINE ST.; SUITE 211
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City | DETROIT
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State | MI
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Zip | 48201-2724
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Country | US
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Telephone | 313-833-5032
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Fax | 313-833-7851
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 5101022641
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License Number State | MI
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