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General NPI Number Information
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NPI Number | 1649689449
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Entity Type | Individual
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Provider Name | SUZANNE ELIZABETH BROWN RN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 02/24/2021
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Provider Practice Location Address
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Address Line | 1109 BURLEYSON RD STE 202
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City | DALTON
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State | GA
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Zip | 30720-3094
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Country | US
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Telephone | 706-259-3336
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Fax | 706-370-7715
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Provider Business Mailing Address
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Address Line | 1109 BURLEYSON RD STE 202
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City | DALTON
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State | GA
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Zip | 30720-3094
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Country | US
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Telephone | 706-259-3336
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Fax | 706-370-7715
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 174936
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License Number State | GA
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