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General NPI Number Information
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NPI Number | 1366117384
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Entity Type | Individual
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Provider Name | CHARLOTTE ALEXANDRA BROWN CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 500 ACADEMY ST S
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City | AHOSKIE
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State | NC
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Zip | 27910-3248
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Country | US
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Telephone | 252-209-3000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110566
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City | DURHAM
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State | NC
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Zip | 27709-5566
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Country | US
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Telephone | 919-620-4855
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 286698
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 6874
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License Number State | NC
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