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NPI 1689772733

NPI 1689772733 : DIANA ELIZABETH BROWN RPH : HAYESVILLE, NC

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General NPI Number Information
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    NPI Number           |    1689772733
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    Entity Type          |    Individual 
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    Provider Name        |    DIANA ELIZABETH BROWN RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/20/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    250 US HIGHWAY 64 EAST 
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    City                 |    HAYESVILLE
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    State                |    NC
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    Zip                  |    28904
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    Country              |    US
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    Telephone            |    828-389-0550
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    467 REESE ROAD 
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    City                 |    BRASSTOWN
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    State                |    NC
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    Zip                  |    28902
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    Country              |    US
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    Telephone            |    828-835-9235
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    6892
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    11015
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    PS37776
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    License Number State |    FL
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