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General NPI Number Information
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NPI Number | 1073872180
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Entity Type | Organization
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Legal Business Name | THOMAS M BROWN, M.D.,PC
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 188 STATE ROAD 129 S SUITE B
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City | BATESVILLE
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State | IN
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Zip | 47006-7628
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Country | US
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Telephone | 812-933-5544
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Fax | 812-932-2000
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Provider Business Mailing Address
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Address Line | 188 STATE ROAD 129 S SUITE B
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City | BATESVILLE
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State | IN
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Zip | 47006-7628
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Country | US
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Telephone | 812-933-5544
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Fax | 812-932-2000
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Authorized Official
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Title or Position | OWNER/SOLO PRACTITIONER
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Name | THOMAS M BROWN
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Credential | M.D.
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Telephone | 812-933-5544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01041510A
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License Number State | IN
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