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NPI 1891656310

NPI 1891656310 : SHELLEY JEAN BROWN LPN : SPRINGFIELD, MA

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General NPI Number Information
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    NPI Number           |    1891656310
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    Entity Type          |    Individual 
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    Provider Name        |    SHELLEY JEAN BROWN LPN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/24/2025
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    Last Update Date     |    11/24/2025
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Provider Practice Location Address
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    Address Line         |    332 BIRNIE AVE 
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    City                 |    SPRINGFIELD
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    State                |    MA
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    Zip                  |    01107-1106
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    Country              |    US
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    Telephone            |    844-243-4357
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    Fax                  |    413-451-0037
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Provider Business Mailing Address
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    Address Line         |    102 MAIN ST 
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    City                 |    GREENFIELD
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    State                |    MA
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    Zip                  |    01301-3275
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    Country              |    US
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    Telephone            |    844-243-4357
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    Fax                  |    413-451-0037
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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        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    LN86942
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    License Number State |    MA
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