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General NPI Number Information
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NPI Number | 1295132132
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Entity Type | Individual
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Provider Name | STEPHANIE SHARON BROWN NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 918 N WHITE SANDS BLVD
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City | ALAMOGORDO
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State | NM
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Zip | 88310-6926
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Country | US
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Telephone | 575-434-2169
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Fax | 575-434-2162
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Provider Business Mailing Address
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Address Line | 2814 INDIAN WELLS RD
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City | ALAMOGORDO
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State | NM
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Zip | 88310-3861
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Country | US
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Telephone | 575-415-1927
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Fax | 575-488-1133
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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 | CNP-02568
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License Number State | NM
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