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NPI 1194472605

NPI 1194472605 : KIANA CHEVONNE BROWN RN ADMINISTRATOR : FLORENCE, SC

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General NPI Number Information
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    NPI Number           |    1194472605
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    Entity Type          |    Individual 
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    Provider Name        |    KIANA CHEVONNE BROWN RN ADMINISTRATOR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/04/2022
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    Last Update Date     |    05/20/2025
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Provider Practice Location Address
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    Address Line         |    1801 W EVANS ST STE D100 
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    City                 |    FLORENCE
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    State                |    SC
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    Zip                  |    29501-3376
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    Country              |    US
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    Telephone            |    843-506-6817
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    Fax                  |    888-781-9149
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Provider Business Mailing Address
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    Address Line         |    1801 W EVANS ST STE D100 
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    City                 |    FLORENCE
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    State                |    SC
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    Zip                  |    29501-3376
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    Country              |    US
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    Telephone            |    843-506-6817
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    Fax                  |    888-781-9149
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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        |    163WA2000X
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    Taxonomy Name        |    Administrator Registered Nurse
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    License Number       |    235320
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    163WC0400X
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    Taxonomy Name        |    Case Management Registered Nurse
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    License Number       |    235320
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    License Number State |    SC
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Taxonomy #3
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    235320
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    License Number State |    SC
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Taxonomy #4
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    235320
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    License Number State |    SC
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