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General NPI Number Information
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NPI Number | 1033555941
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Entity Type | Individual
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Provider Name | PETER CHRISTOPHER BROWN DNP
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Gender | Male
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Dates
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Enumeration Date | 05/18/2013
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 1551 E MULLAN AVE BLDG A STE 200B
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City | POST FALLS
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State | ID
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Zip | 83854-5275
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Country | US
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Telephone | 208-262-2213
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Fax | 208-262-2214
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Provider Business Mailing Address
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Address Line | 1593 E POLSTON AVE
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City | POST FALLS
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State | ID
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Zip | 83854-5326
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Country | US
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Telephone | 208-262-2300
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Fax | 208-262-2390
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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-37606
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 37606
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP-1327A
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP-1327A
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License Number State | ID
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