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General NPI Number Information
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NPI Number | 1881818854
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Entity Type | Individual
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Provider Name | TRACY LYNN BROWN ACNP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4325 N JOSEY LN PLAZA 2 SUITE 301
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City | CARROLLTON
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State | TX
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Zip | 75010-4635
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Country | US
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Telephone | 469-568-0400
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Fax | 469-568-0405
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Provider Business Mailing Address
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Address Line | 2340 E TRINITY MILLS RD SUITE 118
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City | CARROLLTON
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State | TX
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Zip | 75006-1942
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Country | US
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Telephone | 469-568-0400
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Fax | 469-568-0405
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 571212
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License Number State | TX
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