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General NPI Number Information
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NPI Number | 1023284932
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Entity Type | Organization
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Legal Business Name | RONALD E. BROWN, D.D.S., PC
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 2026 6TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601-6557
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Country | US
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Telephone | 256-350-1347
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Fax | 256-350-1386
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Provider Business Mailing Address
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Address Line | 2026 6TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601-6557
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Country | US
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Telephone | 256-350-1347
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Fax | 256-350-1386
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD EDWARD BROWN
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Credential | D.D.S.
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Telephone | 256-350-1347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3318
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License Number State | AL
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