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General NPI Number Information
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NPI Number | 1174142236
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Entity Type | Individual
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Provider Name | CRYSTAL LYNN BROWNE APRN
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Gender | Female
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 7727 LAKE UNDERHILL RD
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City | ORLANDO
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State | FL
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Zip | 32822-8224
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Country | US
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Telephone | 407-303-8110
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 FALLING STAR LN
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City | ORLANDO
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State | FL
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Zip | 32828-7495
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Country | US
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Telephone | 239-269-1294
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11006863
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0039829
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4042987
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License Number State | KY
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