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General NPI Number Information
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NPI Number | 1811332158
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Entity Type | Individual
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Provider Name | KRISTINE NICOLE BROWN DO
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Gender | Female
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 608 CHEAT RD
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City | MORGANTOWN
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State | WV
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Zip | 26508
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Country | US
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Telephone | 855-988-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DR
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City | MORGANTOWN
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State | WV
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Zip | 26506-1200
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Country | US
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Telephone | 304-598-4000
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | R3400
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 40744
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 3455
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License Number State | WV
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