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General NPI Number Information
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NPI Number | 1205792744
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Entity Type | Individual
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Provider Name | LAKESHA T BROWN DBA
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Gender | Female
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 5310 MILLER AVE
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City | GARY
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State | IN
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Zip | 46403-2842
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Country | US
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Telephone | 219-885-9061
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Fax | 219-979-9676
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Provider Business Mailing Address
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Address Line | 7415 INDIAN BOUNDARY
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City | GARY
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State | IN
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Zip | 46403-1208
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Country | US
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Telephone | 219-885-9061
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Fax | 219-979-9676
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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