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General NPI Number Information
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NPI Number | 1083942007
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Entity Type | Individual
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Provider Name | LAYNE BROWN PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/02/2009
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 18200 KATY FWY
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City | HOUSTON
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State | TX
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Zip | 77094-1285
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Country | US
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Telephone | 832-227-1620
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Fax |
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Provider Business Mailing Address
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Address Line | 20602 ELDERWOOD TERRACE DR
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City | RICHMOND
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State | TX
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Zip | 77406-1972
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Country | US
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Telephone | 713-819-1933
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA06543
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License Number State | TX
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