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General NPI Number Information
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NPI Number | 1114354503
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Entity Type | Individual
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Provider Name | AUGUSTINE BROWN N.P.
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Gender | Female
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 821 S HORNER BLVD STE A
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City | SANFORD
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State | NC
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Zip | 27330-5343
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Country | US
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Telephone | 917-554-3921
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Fax |
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Provider Business Mailing Address
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Address Line | 821 S HORNER BLVD STE A
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City | SANFORD
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State | NC
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Zip | 27330-5343
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Country | US
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Telephone | 917-554-3921
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F340898-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F306379-1
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License Number State | NY
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