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General NPI Number Information
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NPI Number | 1679339451
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Entity Type | Individual
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Provider Name | ALLISON M BROWN NP
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Gender | Female
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 350 S LANDMARK AVE
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City | BLOOMINGTON
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State | IN
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Zip | 47403-5001
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Country | US
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Telephone | 812-332-9874
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Fax | 812-335-7604
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone |
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 28202994A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 71015441A
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License Number State | IN
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