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General NPI Number Information
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NPI Number | 1871091694
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Entity Type | Individual
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Provider Name | ALLYSON DEANNE BROWN FNP
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Gender | Female
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 200 INDUSTRIAL BLVD
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City | DUBLIN
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State | GA
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Zip | 31021-2981
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Country | US
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Telephone | 478-274-3865
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 N LAKE DR
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City | EAST DUBLIN
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State | GA
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Zip | 31027-2583
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Country | US
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Telephone | 478-456-9719
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN212142
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License Number State | GA
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