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General NPI Number Information
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NPI Number | 1245918465
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Entity Type | Individual
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Provider Name | ALEXIS BROWN NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 7675 MISSION VALLEY RD
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City | SAN DIEGO
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State | CA
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Zip | 92108-4429
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Country | US
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Telephone | 215-779-5591
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Fax |
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Provider Business Mailing Address
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Address Line | 7675 MISSION VALLEY RD
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City | SAN DIEGO
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State | CA
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Zip | 92108-4429
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Country | US
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Telephone | 215-779-5591
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN306821
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License Number State | GA
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