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NPI 1790698058

NPI 1790698058 : ALTHEA DOREEN BROWN : BRANCHBURG, NJ

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General NPI Number Information
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    NPI Number           |    1790698058
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALTHEA DOREEN BROWN 
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Dates
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    Enumeration Date     |    09/25/2026
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    Last Update Date     |    09/25/2026
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Provider Practice Location Address
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    Address Line         |    971 US HIGHWAY 202 N STE N 
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    City                 |    BRANCHBURG
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    State                |    NJ
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    Zip                  |    08876-3757
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    Country              |    US
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    Telephone            |    640-286-2207
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12 RUE CEZANNE 
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    City                 |    MAYS LANDING
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    State                |    NJ
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    Zip                  |    08330-4947
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    Country              |    US
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    Telephone            |    640-286-2207
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ALTHEA  BROWN 
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    Credential           |    
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    Telephone            |    640-286-2207
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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       |    
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    License Number State |    
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