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General NPI Number Information
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NPI Number | 1740919190
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Entity Type | Individual
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Provider Name | KEVIN BROWN CRNP-PMH
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Gender | Male
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 260 GATEWAY DR STE 13-14B
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City | BEL AIR
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State | MD
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Zip | 21014-4268
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Country | US
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Telephone | 410-286-1258
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Fax | 443-231-3684
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Provider Business Mailing Address
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Address Line | 715 FALCON LN
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City | ABERDEEN
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State | MD
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Zip | 21001-1256
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Country | US
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Telephone | 443-838-0028
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R205327
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License Number State | MD
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