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General NPI Number Information
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NPI Number | 1700366549
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Entity Type | Individual
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Provider Name | TAMRA GAIL BROWNE MED. CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2018
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 1510 N PLANO RD
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City | RICHARDSON
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State | TX
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Zip | 75081-2429
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Country | US
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Telephone | 972-234-4786
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Fax | 972-234-2335
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Provider Business Mailing Address
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Address Line | 411 HEATHERWOOD DR
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City | ALLEN
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State | TX
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Zip | 75002-4951
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Country | US
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Telephone | 214-803-4531
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 100703
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License Number State | TX
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