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General NPI Number Information
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NPI Number | 1942040589
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Entity Type | Individual
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Provider Name | JOHNNETT S BROWN
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Gender | Female
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 8120 CLEARY BLVD APT 1216
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City | PLANTATION
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State | FL
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Zip | 33324-1372
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Country | US
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Telephone | 954-657-3981
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Fax |
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Provider Business Mailing Address
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Address Line | 8120 CLEARY BLVD APT 1216
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City | PLANTATION
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State | FL
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Zip | 33324-1372
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Country | US
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Telephone | 954-657-3981
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | FS878573
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License Number State | FL
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