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General NPI Number Information
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NPI Number | 1992111090
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Entity Type | Individual
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Provider Name | BRITTANY LOUISE AITCHISON FNP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 7685 W EMERALD ST
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City | BOISE
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State | ID
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Zip | 83704-9018
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Country | US
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Telephone | 208-376-2522
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Fax |
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Provider Business Mailing Address
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Address Line | 3913 N MAPLE GROVE RD
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City | BOISE
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State | ID
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Zip | 83704-4229
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Country | US
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Telephone | 816-288-9063
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | N-45134
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License Number State | ID
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