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General NPI Number Information
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NPI Number | 1285889253
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Entity Type | Individual
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Provider Name | JENNIFER NICOLE BROWN DPT
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Gender | Female
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 860 MAIN ST
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City | WINTERSVILLE
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State | OH
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Zip | 43953-3870
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Country | US
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Telephone | 740-264-9500
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Fax | 740-266-6394
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Provider Business Mailing Address
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Address Line | 810 WENTWORTH AVE
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City | TORONTO
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State | OH
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Zip | 43964-1066
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Country | US
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Telephone | 740-537-2876
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT019051
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT002737
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT012051
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License Number State | OH
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