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General NPI Number Information
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NPI Number | 1003853011
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Entity Type | Individual
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Provider Name | BEIL CORY BROWN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 1665 ANTILLEY RD., SUITE 210
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City | ABILENE
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State | TX
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Zip | 79606-5223
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Country | US
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Telephone | 325-793-5135
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Fax | 325-793-5136
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Provider Business Mailing Address
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Address Line | PO BOX 5409
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City | ABILENE
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State | TX
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Zip | 79608-5409
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Country | US
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Telephone | 325-793-5135
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Fax | 325-793-5218
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1665
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License Number State | TX
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