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General NPI Number Information
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NPI Number | 1306917844
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Entity Type | Individual
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Provider Name | MARYANN BROWN CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 400 HIGHLAND AVE LEWISTOWN HOSPITAL - SON
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City | LEWISTOWN
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State | PA
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Zip | 17044-1167
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Country | US
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Telephone | 717-242-7932
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Fax | 717-242-7933
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Provider Business Mailing Address
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Address Line | RR 4 BOX 1030
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City | MIFFLINTOWN
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State | PA
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Zip | 17059-9571
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Country | US
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Telephone | 717-436-2300
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP008040
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License Number State | PA
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