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General NPI Number Information
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NPI Number | 1891139416
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Entity Type | Individual
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Provider Name | CHRISTINA NICOLE BROWN R.N.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 05/14/2013
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Provider Practice Location Address
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Address Line | 2345 REAGAN ST
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City | DALLAS
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State | TX
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Zip | 75219-3225
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Country | US
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Telephone | 214-999-1044
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Fax | 214-296-4704
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Provider Business Mailing Address
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Address Line | 2345 REAGAN ST
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City | DALLAS
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State | TX
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Zip | 75219-3225
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Country | US
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Telephone | 214-999-1044
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Fax | 214-296-4704
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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 | 778145
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 778145
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163WN0800X
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Taxonomy Name | Neuroscience Registered Nurse
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License Number | 778145
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 778145
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License Number State | TX
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