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General NPI Number Information
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NPI Number | 1922416072
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Entity Type | Individual
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Provider Name | JACQUELINE BROWN CNA
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Gender | Female
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 975 KIRMAN AVE
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City | RENO
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State | NV
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Zip | 89502-0993
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Country | US
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Telephone | 775-786-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 176 MILKE WAY
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City | SPARKS
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State | NV
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Zip | 89436-6007
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Country | US
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Telephone | 775-247-3195
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CNA031209
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License Number State | NV
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