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General NPI Number Information
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NPI Number | 1902227739
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Entity Type | Individual
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Provider Name | BETHANY R. BROWN CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/20/2013
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Last Update Date | 03/17/2016
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Provider Practice Location Address
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Address Line | 201 W. AVALON AVENUE
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661
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Country | US
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Telephone | 256-386-1600
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Fax | 256-768-9775
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Provider Business Mailing Address
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Address Line | P.O. BOX 10005
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City | FLORENCE
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State | AL
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Zip | 35631-2005
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Country | US
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Telephone | 256-768-9191
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Fax | 256-768-9775
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1-111760
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 18330
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License Number State | TN
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