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NPI 1801071592

NPI 1801071592 : CHRISTOPHER BROWN INC : CAPISTRANO BEACH, CA

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General NPI Number Information
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    NPI Number           |    1801071592
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRISTOPHER BROWN INC 
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Dates
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    Enumeration Date     |    01/01/2008
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    Last Update Date     |    12/22/2008
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Provider Practice Location Address
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    Address Line         |    34521 VIA CATALINA UNIT B 
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    City                 |    CAPISTRANO BEACH
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    State                |    CA
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    Zip                  |    92624-1215
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    Country              |    US
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    Telephone            |    714-322-0055
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    34521 VIA CATALINA UNIT B 
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    City                 |    CAPISTRANO BEACH
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    State                |    CA
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    Zip                  |    92624-1215
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    Country              |    US
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    Telephone            |    714-322-0055
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENTOWNER
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    Name                 |     CHRISTOPHER JAMES BROWN 
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    Credential           |    CRNA
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    Telephone            |    714-322-0055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    NA 809
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    License Number State |    CA
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