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General NPI Number Information
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NPI Number | 1295209864
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Entity Type | Individual
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Provider Name | REID NICOLE BROWN PHARM D
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Gender | Female
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1226 FREEPORT HWY S
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City | DEFUNIAK SPRINGS
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State | FL
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Zip | 32435-3396
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Country | US
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Telephone | 850-892-6914
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Fax |
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Provider Business Mailing Address
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Address Line | 1411 HIGHWAY 185
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City | WESTVILLE
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State | FL
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Zip | 32464-8024
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Country | US
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Telephone | 850-333-4119
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20683
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 58256
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License Number State | FL
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