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NPI 1265191456

NPI 1265191456 : ERICA BROWN APRN : BROOKVILLE, OH

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General NPI Number Information
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    NPI Number           |    1265191456
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    Entity Type          |    Individual 
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    Provider Name        |    ERICA BROWN APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/15/2021
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    Last Update Date     |    06/11/2024
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Provider Practice Location Address
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    Address Line         |    98 MOSIER PKWY 
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    City                 |    BROOKVILLE
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    State                |    OH
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    Zip                  |    45309-1750
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    Country              |    US
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    Telephone            |    937-833-4103
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    Fax                  |    901-873-0931
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Provider Business Mailing Address
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    Address Line         |    98 MOSIER PKWY 
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    City                 |    BROOKVILLE
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    State                |    OH
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    Zip                  |    45309-1750
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    Country              |    US
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    Telephone            |    937-833-4103
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    Fax                  |    901-873-0931
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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       |    APRN.CNP.0031299
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    30438
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    110787
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    License Number State |    WV
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