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General NPI Number Information
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NPI Number | 1588714570
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Entity Type | Individual
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Provider Name | SHAMEKA TEANEA BROWN DNP, FNP-BC, CME
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 107 N BRIDGE ST
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City | ELKTON
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State | MD
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Zip | 21921-5326
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Country | US
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Telephone | 410-392-6408
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Fax | 410-392-6409
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Provider Business Mailing Address
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Address Line | 437 CROYDEN RD
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City | UPPER DARBY
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State | PA
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Zip | 19082-5105
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Country | US
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Telephone | 267-679-3579
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TE00718
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LG-0001062
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN628620
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AC002225
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License Number State | MD
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