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General NPI Number Information
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NPI Number | 1023240041
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Entity Type | Individual
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Provider Name | HEIDI LEE BROWN FNP-BC, APRN
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Gender | Female
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 7650 CURRELL BLVD STE 330
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City | WOODBURY
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State | MN
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Zip | 55125-8209
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Country | US
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Telephone | 651-738-7800
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Fax | 651-738-9501
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Provider Business Mailing Address
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Address Line | 11415 560TH ST
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City | RUSH CITY
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State | MN
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Zip | 55069-9438
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Country | US
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Telephone | 320-980-3067
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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 | 6648-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP 3849
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License Number State | MN
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