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General NPI Number Information
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NPI Number | 1649768243
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Entity Type | Individual
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Provider Name | BRIANNA ROSE BROWN
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Gender | Female
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Dates
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Enumeration Date | 04/29/2018
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Last Update Date | 04/29/2018
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Provider Practice Location Address
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Address Line | 2520 VALLEY DR STE 112
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City | POINT PLEASANT
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State | WV
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Zip | 25550-2031
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Country | US
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Telephone | 304-675-1244
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Fax |
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Provider Business Mailing Address
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Address Line | 12685 RAINBOW LAKE RD
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City | ATHENS
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State | OH
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Zip | 45701-9583
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Country | US
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Telephone | 740-297-1913
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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