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NPI 1598271777

NPI 1598271777 : DOKOTA BROWN NP : KENOSHA, WI

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General NPI Number Information
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    NPI Number           |    1598271777
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    Entity Type          |    Individual 
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    Provider Name        |    DOKOTA BROWN NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/24/2017
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    Last Update Date     |    01/25/2026
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Provider Practice Location Address
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    Address Line         |    6530 SHERIDAN RD STE 8 
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    City                 |    KENOSHA
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    State                |    WI
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    Zip                  |    53143-5063
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    Country              |    US
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    Telephone            |    262-286-1133
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    Fax                  |    833-760-3719
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Provider Business Mailing Address
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    Address Line         |    6530 SHERIDAN RD STE 8 
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    City                 |    KENOSHA
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    State                |    WI
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    Zip                  |    53143-5063
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    Country              |    US
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    Telephone            |    262-286-1133
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    Fax                  |    833-760-3719
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    8241-33
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    License Number State |    WI
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    170771-30
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    License Number State |    WI
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    209017269
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    License Number State |    IL
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Taxonomy #4
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    8241-33
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    License Number State |    WI
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