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General NPI Number Information
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NPI Number | 1750079323
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Entity Type | Organization
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Legal Business Name | DEFINE BROWS, LLC
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 13 E YORK ST RM 3
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City | SAVANNAH
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State | GA
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Zip | 31401-3716
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Country | US
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Telephone | 912-656-2142
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Fax | 912-438-6730
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Provider Business Mailing Address
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Address Line | 13 E YORK ST RM 3
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City | SAVANNAH
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State | GA
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Zip | 31401-3716
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Country | US
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Telephone | 912-656-2142
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Fax |
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Authorized Official
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Title or Position | NP-C, MEMBER
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Name | NICOLE MITCHELL
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Credential | NP-C
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Telephone | 912-658-4993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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