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General NPI Number Information
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NPI Number | 1598554545
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Entity Type | Individual
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Provider Name | MS. JENNIFER CARINA BROWN
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 23700 CAMINO DEL SOL
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City | TORRANCE
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State | CA
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Zip | 90505-5000
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Country | US
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Telephone | 310-530-1151
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Fax |
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Provider Business Mailing Address
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Address Line | 1519 S FAIRFAX AVE APT 3
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City | LOS ANGELES
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State | CA
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Zip | 90019-4914
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Country | US
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Telephone | 562-229-4780
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95034442
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License Number State | CA
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