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General NPI Number Information
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NPI Number | 1013126457
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Entity Type | Individual
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Provider Name | JOHN PIERCE BROWNLEE JR. CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6640 KANIKSU STREET BOUNDARY COMMUNITY HOSPITAL
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City | BONNERS FERRY
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State | ID
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Zip | 83805
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Country | US
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Telephone | 208-267-3141
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Fax |
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Provider Business Mailing Address
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Address Line | 49 DIAMOND HEIGHTS RD
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City | OLDTOWN
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State | ID
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Zip | 83822-9593
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Country | US
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Telephone | 208-437-2047
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | N-28966
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00066178
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RNA440
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP30006256
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License Number State | WA
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