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General NPI Number Information
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NPI Number | 1992009690
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Entity Type | Organization
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Legal Business Name | EARL B. BRITT, M.D., P.A.
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 1625 PHYSICIANS DR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4620
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Country | US
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Telephone | 850-877-3154
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Fax | 850-877-9495
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Provider Business Mailing Address
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Address Line | 1625 PHYSICIANS DR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4620
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Country | US
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Telephone | 850-877-3154
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Fax | 850-877-9495
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Authorized Official
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Title or Position | OWNER
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Name | EARL B BRITT SR.
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Credential | MD
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Telephone | 850-877-3154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME0026016
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License Number State | FL
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