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NPI Code Detail

MEDICARE: MISS RITA BROWN DEBAH LPN

MEDICARE:  MISS RITA BROWN DEBAH  LPN
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
1164W00000XLicensed Practical Nurse305610-1NY

General Provider Information

NPI Number : 1710266374
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS RITA BROWN DEBAH LPN
Provider Business Mailing Address
First Line : 1706 UNDERCLIFF AVE
Second Line : PH
City : BRONX
State : NY
Zip : 10453-6742
Country : US
Telephone Number : 347-820-5686
Fax Number :
Provider Business Practice Location Address
First Line : 1706 UNDERCLIFF AVE
Second Line : PH
City : BRONX
State : NY
Zip : 10453-6742
Country : US
Telephone Number : 347-820-5686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2011
Last Update Date : 08/12/2011

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Directions to “ MISS RITA BROWN DEBAH LPN” Practice Location

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