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General NPI Number Information
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NPI Number | 1679457915
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Entity Type | Individual
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Provider Name | MS. AUTUMN LYNE BRUMFIELD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 88 TOWNSHIP ROAD 1310
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City | PROCTORVILLE
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State | OH
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Zip | 45669-8834
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Country | US
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Telephone | 304-638-6154
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Fax |
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Provider Business Mailing Address
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Address Line | 1398 E BETHEL CHURCH RD
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City | GALLIPOLIS
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State | OH
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Zip | 45631-9602
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Country | US
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Telephone | 740-645-0523
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | OH
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