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General NPI Number Information
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NPI Number | 1013612340
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Entity Type | Individual
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Provider Name | JANA MICHELLE BROWN PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/04/2023
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 12228 N CENTRAL EXPY STE 410
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City | DALLAS
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State | TX
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Zip | 75243-3797
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Country | US
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Telephone | 972-566-5255
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Fax |
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Provider Business Mailing Address
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Address Line | 5601 GOLDEN TRIANGLE BLVD APT 4417
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City | FORT WORTH
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State | TX
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Zip | 76244-4450
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Country | US
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Telephone | 832-316-1031
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | TX
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