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General NPI Number Information
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NPI Number | 1316767536
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE BROWN AGACNP-BC, DNP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 12/07/2024
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Provider Practice Location Address
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Address Line | 3651 WHEELER RD
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City | AUGUSTA
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State | GA
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Zip | 30909-6521
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Country | US
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Telephone | 706-504-4651
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Fax | 706-504-4639
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Provider Business Mailing Address
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Address Line | 3660 J DEWEY GRAY CIR
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City | AUGUSTA
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State | GA
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Zip | 30909-6424
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Country | US
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Telephone | 706-504-4651
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Fax | 706-504-4639
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 29460
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | GAA-NP002816
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License Number State | GA
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