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NPI 1609997345

NPI 1609997345 : MICHELLE M BROWN PT : HEMET, CA

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General NPI Number Information
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    NPI Number           |    1609997345
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE M BROWN PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/02/2007
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    Last Update Date     |    05/01/2025
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Provider Practice Location Address
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    Address Line         |    1515 W FLORIDA AVE STE E 
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    City                 |    HEMET
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    State                |    CA
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    Zip                  |    92543-3817
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    Country              |    US
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    Telephone            |    951-658-3121
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    Fax                  |    951-652-6994
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Provider Business Mailing Address
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    Address Line         |    2015 W VIA RANCHO PARKWAY 
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    City                 |    ESCONDIDO
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    State                |    CA
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    Zip                  |    92029
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    Country              |    US
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    Telephone            |    760-644-5990
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT24387
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    License Number State |    CA
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