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General NPI Number Information
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NPI Number | 1609911916
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Entity Type | Individual
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Provider Name | KATHLEEN M BROWN C-FNP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1200 E COLTON AVE
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City | REDLANDS
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State | CA
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Zip | 92374-3755
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Country | US
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Telephone | 909-748-8021
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 E COLTON AVE
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City | REDLANDS
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State | CA
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Zip | 92374-3755
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Country | US
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Telephone | 909-748-8021
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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 | RN388919
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License Number State | CA
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