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General NPI Number Information
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NPI Number | 1558792739
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Entity Type | Individual
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Provider Name | JANELLE LYNN BROWN NP
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Gender | Female
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Dates
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Enumeration Date | 12/12/2013
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Last Update Date | 07/03/2020
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Provider Practice Location Address
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Address Line | 9900 BREN RD E
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City | MINNETONKA
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State | MN
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Zip | 55343-9664
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Country | US
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Telephone | 978-799-9573
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Fax |
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Provider Business Mailing Address
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Address Line | 38 FLORENCE AVE
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City | TEWKSBURY
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State | MA
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Zip | 01876-4445
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Country | US
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Telephone | 570-590-4021
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP013429
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License Number State | PA
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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 | RN2297910
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License Number State | MA
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