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General NPI Number Information
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NPI Number | 1932454378
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Entity Type | Individual
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Provider Name | AMANDA F BROWN L.AC.
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Gender | Female
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 1623 YORK AVE STE 103
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City | HIGH POINT
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State | NC
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Zip | 27265-2311
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Country | US
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Telephone | 336-841-4307
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 LOCKLAND AVE
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City | WINSTON SALEM
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State | NC
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Zip | 27103-5116
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Country | US
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Telephone | 336-575-1878
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 589
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License Number State | NC
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