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General NPI Number Information
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NPI Number | 1508289992
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Entity Type | Individual
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Provider Name | HEATHER LOUISE BROWN DORIUS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/21/2014
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 12916 CONAMAR DR
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City | HAGERSTOWN
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State | MD
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Zip | 21742-2760
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Country | US
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Telephone | 410-955-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone |
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Fax | 801-429-8050
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R238153
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 6613337-4405
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License Number State | UT
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