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General NPI Number Information
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NPI Number | 1508201534
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Entity Type | Individual
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Provider Name | CYNTHIA BROWN
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Gender | Female
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 810 W SAGINAW ST
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City | LANSING
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State | MI
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Zip | 48915-1963
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Country | US
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Telephone | 517-853-2949
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Fax |
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Provider Business Mailing Address
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Address Line | 812 E JOLLY RD SUITE 210
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City | LANSING
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State | MI
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Zip | 48910-6818
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Country | US
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Telephone | 517-346-8200
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 47030395422
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License Number State | MI
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