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General NPI Number Information
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NPI Number | 1215219738
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Entity Type | Individual
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Provider Name | DIANA G BROWN-BRUMFIELD APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 09/10/2011
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Last Update Date | 09/10/2011
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Provider Practice Location Address
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Address Line | 672 QUILLIAMS RD
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44121-1954
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Country | US
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Telephone | 216-381-8510
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Fax |
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Provider Business Mailing Address
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Address Line | 672 QUILLIAMS RD
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44121-1954
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Country | US
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Telephone | 216-381-8510
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 184859
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License Number State | OH
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