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General NPI Number Information
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NPI Number | 1063867950
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Entity Type | Individual
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Provider Name | DANIEL PATRICK BROWN PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 190 W MAIN ST
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City | CAMDEN
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State | TN
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Zip | 38320-1609
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Country | US
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Telephone | 731-213-2662
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Fax |
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Provider Business Mailing Address
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Address Line | 177 WESTVIEW ST
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City | CAMDEN
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State | TN
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Zip | 38320-1319
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Country | US
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Telephone | 731-441-2825
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3033
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 3033
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3033
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License Number State | TN
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