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Individual
MR. PAUL PEYTON BROWN
Active
Individual
MR. PAUL PEYTON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NN05032500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NN05032500
APN STATE LICENSE
NJ
01
—
26NO05032500
RN LICENSE
NJ
01
—
P00079000
CDS
NJ
Enumeration date
03/29/2007
Last updated
07/08/2007
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