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General NPI Number Information
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NPI Number | 1962204503
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Entity Type | Individual
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Provider Name | BRITTANY MCDONALD APRN
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 3111 BROADWAY ST
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City | MOUNT VERNON
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State | IL
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Zip | 62864-2338
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Country | US
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Telephone | 618-241-0300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 632331
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City | CINCINNATI
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State | OH
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Zip | 45263-2331
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Country | US
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Telephone | 812-450-0702
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209032011
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License Number State | IL
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