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General NPI Number Information
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NPI Number | 1558884718
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Entity Type | Individual
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Provider Name | MARLEE MICHELLE BROWN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 9566 NORTH 83RD DRIVE
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City | PHOENIX
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State | AZ
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Zip | 85037-3374
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Country | US
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Telephone | 602-714-3906
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Fax |
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Provider Business Mailing Address
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Address Line | 9566 N 83RD DR
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City | PEORIA
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State | AZ
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Zip | 85345-7136
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Country | US
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Telephone | 602-714-3906
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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 | AP10175
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License Number State | AZ
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