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General NPI Number Information
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NPI Number | 1467275982
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Entity Type | Individual
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Provider Name | HEIDI BROWN LMT, RN, CFNC, CNP
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | PO BOX 15
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City | WAKARUSA
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State | IN
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Zip | 46573-0015
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Country | US
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Telephone | 574-202-4743
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15
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City | WAKARUSA
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State | IN
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Zip | 46573-0015
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Country | US
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Telephone | 574-202-4743
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State | IN
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