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NPI Code Detail

MEDICARE: DANA MARILYN BROWN

MEDICARE: DANA MARILYN BROWN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1B-650-135-585-985OTHERMDMARYLAND DRIVERS LICENSE

General Provider Information

NPI Number : 1386293470
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA MARILYN BROWN
Provider Business Mailing Address
First Line : 2823 TROTTER PARK LN
Second Line :
City : LANHAM
State : MD
Zip : 20706-2686
Country : US
Telephone Number : 202-306-1357
Fax Number :
Provider Business Practice Location Address
First Line : 3298 FORT LINCOLN DR NE APT 511
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-4318
Country : US
Telephone Number : 202-526-5154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2019
Last Update Date : 09/10/2019

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Directions to “ DANA MARILYN BROWN ” Practice Location

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