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NPI Code Detail

MEDICARE: SUMMER ELIZABETH BROWN

MEDICARE: SUMMER ELIZABETH 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1942834445
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER ELIZABETH BROWN
Provider Business Mailing Address
First Line : 412 HOCUTT RD
Second Line :
City : DURHAM
State : NC
Zip : 27703-8692
Country : US
Telephone Number : 919-667-5322
Fax Number :
Provider Business Practice Location Address
First Line : 5121 KINGDOM WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6062
Country : US
Telephone Number : 800-442-2762
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2020
Last Update Date : 02/24/2020

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Directions to “ SUMMER ELIZABETH BROWN ” Practice Location

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