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General NPI Number Information
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NPI Number | 1841213741
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Entity Type | Individual
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Provider Name | LUCINDA M BROWN CNM
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 06/19/2018
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Provider Practice Location Address
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Address Line | 860 OMNI BLVD STE 110
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City | NEWPORT NEWS
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State | VA
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Zip | 23606
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Country | US
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Telephone | 757-232-9794
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Fax |
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Provider Business Mailing Address
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Address Line | 860 OMNI BLVD STE 303
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4477
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Country | US
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Telephone | 757-232-8769
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Fax | 757-232-8875
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | WV39836
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 42
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 0024168981
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License Number State | VA
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