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General NPI Number Information
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NPI Number | 1275496267
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Entity Type | Individual
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Provider Name | ELIZABETH BROWN
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 104000 BLACKLICK EASTERN RD.
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City | PICKERINGTON
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State | OH
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Zip | 43147-8235
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Country | US
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Telephone | 567-341-0280
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Fax |
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Provider Business Mailing Address
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Address Line | 5415 W BANCROFT ST APT 23
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City | TOLEDO
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State | OH
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Zip | 43615-2823
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Country | US
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Telephone | 567-341-0280
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | OH
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