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General NPI Number Information
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NPI Number | 1013597186
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Entity Type | Individual
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Provider Name | TALIA MORGAN BROWN DPM
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Gender | Female
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 505 WILLARD AVE STE D
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City | NEWINGTON
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State | CT
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Zip | 06111-2650
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Country | US
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Telephone | 860-666-2078
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Fax |
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Provider Business Mailing Address
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Address Line | 7460 VIALE MICHELANGELO
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City | DELRAY BEACH
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State | FL
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Zip | 33446-3759
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Country | US
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Telephone | 561-501-7763
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Fax |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 001163
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License Number State | CT
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