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General NPI Number Information
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NPI Number | 1003032012
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Entity Type | Organization
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Legal Business Name | BROWN FAMILY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/03/2007
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Provider Practice Location Address
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Address Line | 1457 W EVANS ST
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City | FLORENCE
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State | SC
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Zip | 29501-3390
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Country | US
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Telephone | 843-292-9873
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Fax | 843-292-9875
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Provider Business Mailing Address
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Address Line | 1457 W EVANS ST
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City | FLORENCE
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State | SC
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Zip | 29501-3390
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Country | US
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Telephone | 843-292-9873
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Fax | 843-292-9875
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. DANA RENE BROWN
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Credential | DC
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Telephone | 843-292-9873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 2856
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License Number State | SC
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