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General NPI Number Information
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NPI Number | 1073868782
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Entity Type | Individual
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Provider Name | DANIEL BROWN PT
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Gender | Male
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 1740 N COLLINS BLVD SUITE 100
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City | RICHARDSON
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State | TX
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Zip | 75080-3640
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Country | US
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Telephone | 972-644-6790
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 LANDOVER DR
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City | CARROLLTON
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State | TX
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Zip | 75007-3933
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Country | US
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Telephone | 214-232-7601
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1218312
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License Number State | TX
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