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General NPI Number Information
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NPI Number | 1053591883
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Entity Type | Individual
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Provider Name | LATANYA MARTIN BROWN HHP, RPSGT
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Gender | Female
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 2742 LITTLE CANEY WAY
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City | CONROE
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State | TX
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Zip | 77301-5086
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Country | US
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Telephone | 831-817-3371
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Fax |
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Provider Business Mailing Address
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Address Line | 303 LONGMIRE RD
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City | CONROE
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State | TX
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Zip | 77304-2175
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Country | US
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Telephone | 832-952-1199
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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 | 1710I1002X
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Taxonomy Name | Independent Duty Corpsman
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License Number |
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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Taxonomy #3
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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