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General NPI Number Information
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NPI Number | 1164576294
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Entity Type | Organization
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Legal Business Name | JANICE -BROWN COLLINS FAMILY PLANNING CLINIC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 1100 BRIDGEWOOD DR STE 120
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City | FORT WORTH
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State | TX
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Zip | 76112-0809
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Country | US
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Telephone | 817-922-8182
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Fax | 866-638-4875
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Provider Business Mailing Address
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Address Line | 1100 BRIDGEWOOD DR STE 120
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City | FORT WORTH
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State | TX
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Zip | 76112-0809
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Country | US
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Telephone | 817-922-8182
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Fax | 866-638-4872
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JANICE BROWN
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Credential | APN, WHNP-BC
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Telephone | 817-922-8182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | 544870
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License Number State | TX
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