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General NPI Number Information
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NPI Number | 1316047954
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Entity Type | Individual
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Provider Name | HEATHER NICOLE BROWN SLP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 504 N HEWITT DR STE 3 AND 4
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City | HEWITT
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State | TX
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Zip | 76643-3172
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Country | US
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Telephone | 254-399-8255
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Fax | 254-235-3408
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Provider Business Mailing Address
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Address Line | PO BOX 938
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City | KILLEEN
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State | TX
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Zip | 76540-0938
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Country | US
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Telephone | 254-634-6999
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Fax | 254-200-4090
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 17624
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License Number State | TX
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