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General NPI Number Information
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NPI Number | 1962095000
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Entity Type | Individual
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Provider Name | SCHARITA BROWN CNA
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Gender | Female
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 416 CHAUTAUQUA AVE
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City | PORTSMOUTH
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State | VA
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Zip | 23707-2102
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Country | US
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Telephone | 757-904-9293
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7882
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City | PORTSMOUTH
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State | VA
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Zip | 23707-0882
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Country | US
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Telephone | 757-541-4779
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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 | 1401135747
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License Number State | VA
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