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General NPI Number Information
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NPI Number | 1063494045
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Entity Type | Individual
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Provider Name | CRYSTAL D BROWN ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 140 NEWCOMB AVE
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City | MOUNT VERNON
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State | KY
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Zip | 40456-2725
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Country | US
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Telephone | 606-256-5176
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Fax | 606-256-5191
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Provider Business Mailing Address
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Address Line | 140 NEWCOMB AVE
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City | MOUNT VERNON
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State | KY
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Zip | 40456-2725
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Country | US
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Telephone | 606-256-5176
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Fax | 606-256-5191
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 1841P
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License Number State | KY
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