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General NPI Number Information
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NPI Number | 1144814351
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Entity Type | Individual
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Provider Name | NICOLA BROWN AGNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/28/2021
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Last Update Date | 03/26/2023
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Provider Practice Location Address
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Address Line | 1786 FLATBUSH AVE
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City | BROOKLYN
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State | NY
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Zip | 11210-4203
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Country | US
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Telephone | 929-333-9953
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Fax |
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Provider Business Mailing Address
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Address Line | 188 GRAND ST UNIT 161
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City | NEW YORK
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State | NY
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Zip | 10013-3729
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Country | US
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Telephone | 929-438-0166
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F30963301
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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 | F30963301
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License Number State | NY
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