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General NPI Number Information
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NPI Number | 1063007714
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Entity Type | Individual
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Provider Name | ASHLEY BRAZWELL MSN, RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 801 ROAD TO SIX FLAGS W STE 128
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City | ARLINGTON
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State | TX
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Zip | 76012-2600
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Country | US
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Telephone | 903-326-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 E DEBBIE LN STE 102
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City | MANSFIELD
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State | TX
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Zip | 76063-3376
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Country | US
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Telephone | 903-326-3223
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 834021
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 834021
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License Number State | TX
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