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General NPI Number Information
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NPI Number | 1053374173
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Entity Type | Individual
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Provider Name | DAVID J BROWN DPM
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 525 ROUTE 73 S SUITE 304
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City | MARLTON
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State | NJ
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Zip | 08053-9642
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Country | US
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Telephone | 856-983-5144
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Fax |
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Provider Business Mailing Address
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Address Line | 525 ROUTE 73 S SUITE 304
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City | MARLTON
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State | NJ
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Zip | 08053-9642
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Country | US
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Telephone | 856-983-5144
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 25MD00121900
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License Number State | NJ
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