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General NPI Number Information
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NPI Number | 1295825107
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Entity Type | Individual
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Provider Name | WALTER ERIC BROWN PMHNP, CRNA, NSPM-C
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1118 WOODLAND DR
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2763
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Country | US
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Telephone | 270-982-0825
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Fax |
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Provider Business Mailing Address
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Address Line | 1118 WOODLAND DR
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2763
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Country | US
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Telephone | 270-982-0826
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Fax | 833-471-5852
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4052346
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | D151650
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4052346
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1109132
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 28186878A
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License Number State | IN
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