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General NPI Number Information
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NPI Number | 1407818222
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Entity Type | Individual
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Provider Name | KATHERINE ROSE BROWN
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Gender | Female
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 805 OVIATT ST
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City | KAUKAUNA
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State | WI
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Zip | 54130-1528
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Country | US
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Telephone | 920-759-9249
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Fax |
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Provider Business Mailing Address
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Address Line | 23 WINONA CT
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City | APPLETON
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State | WI
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Zip | 54911-5142
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Country | US
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Telephone | 920-257-4638
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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 | 88271-030
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License Number State | WI
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