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General NPI Number Information
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NPI Number | 1932399193
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Entity Type | Individual
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Provider Name | HEIDI WENDELL BROWN MD
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Gender | Female
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 05/03/2025
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Provider Practice Location Address
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Address Line | 3250 FORDHAM ST
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City | SAN DIEGO
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State | CA
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Zip | 92110-5339
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Country | US
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Telephone | 619-221-0350
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Fax |
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Provider Business Mailing Address
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Address Line | 3250 FORDHAM ST
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City | SAN DIEGO
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State | CA
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Zip | 92110-5339
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 60907
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 60907
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | A110956
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License Number State | CA
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