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General NPI Number Information
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NPI Number | 1497362552
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Entity Type | Individual
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Provider Name | DEVIN ASHLEY BROWN LMT.CMT
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Gender | Female
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 340 CEDAR ST
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City | SAINT PAUL
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State | MN
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Zip | 55101-1100
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Country | US
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Telephone | 651-291-7722
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Fax |
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Provider Business Mailing Address
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Address Line | 3411 MORGAN AVE N
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City | MINNEAPOLIS
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State | MN
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Zip | 55412-2335
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Country | US
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Telephone | 612-850-6266
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | MN
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