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General NPI Number Information
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NPI Number | 1265988653
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Entity Type | Individual
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Provider Name | REMONA LYSA BROWN NP
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Gender | Female
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 11/29/2019
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Provider Practice Location Address
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Address Line | 930 E MOUNT HOPE AVE
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City | LANSING
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State | MI
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Zip | 48910-3280
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Country | US
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Telephone | 517-253-7764
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Fax | 517-372-1250
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Provider Business Mailing Address
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Address Line | 930 E MOUNT HOPE AVE
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City | LANSING
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State | MI
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Zip | 48910-3280
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Country | US
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Telephone | 517-253-7764
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Fax | 517-372-1250
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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 | A135501
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License Number State | IA
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