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General NPI Number Information
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NPI Number | 1326511742
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Entity Type | Individual
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Provider Name | GRACE BROWN
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Gender | Female
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Dates
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Enumeration Date | 01/08/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 601 UPLAND AVE 205
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City | UPLAND
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State | PA
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Zip | 19015
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Country | US
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Telephone | 610-844-9844
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Fax |
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Provider Business Mailing Address
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Address Line | 601 UPLAND AVE 205
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City | UPLAND
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State | PA
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Zip | 19015
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Country | US
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Telephone | 610-844-9844
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 31283601
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License Number State | PA
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