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General NPI Number Information
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NPI Number | 1134558364
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Entity Type | Individual
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Provider Name | SANDRA J. BROWN CNA
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 1190 E 1000 S
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City | SPANISH FORK
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State | UT
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Zip | 84660-2913
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Country | US
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Telephone | 801-798-7720
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Fax | 801-798-7720
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Provider Business Mailing Address
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Address Line | PO BOX 1813
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City | SPANISH FORK
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State | UT
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Zip | 84660-7813
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Country | US
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Telephone | 801-318-5676
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Fax | 801-798-7720
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | UT000205100809
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License Number State | UT
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