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General NPI Number Information
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NPI Number | 1952129561
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Entity Type | Individual
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Provider Name | TIFFANY NACOLE BROWN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1301 WONDER WORLD DR
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City | SAN MARCOS
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State | TX
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Zip | 78666-7533
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Country | US
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Telephone | 512-353-8979
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Fax |
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Provider Business Mailing Address
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Address Line | 5224 75TH ST STE D
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City | LUBBOCK
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State | TX
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Zip | 79424-2525
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Country | US
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Telephone | 806-712-1096
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1174761
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License Number State | TX
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