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General NPI Number Information
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NPI Number | 1033600390
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Entity Type | Individual
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Provider Name | PAULA BROWN NP-C
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Gender | Female
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 201 W 89TH AVE
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6283
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Country | US
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Telephone | 219-472-0066
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Fax |
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Provider Business Mailing Address
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Address Line | 633 E 92ND AVE
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City | MERRILLVILLE
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State | IN
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Zip | 46410-8119
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Country | US
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Telephone | 563-639-4458
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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