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General NPI Number Information
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NPI Number | 1093712937
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Entity Type | Individual
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Provider Name | CHARLES K BROWN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 2100 STANTONSBURG RD ECU PHYSICIANS EMERGENCY MEDICINE AT PCMH
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City | GREENVILLE
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State | NC
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Zip | 27834-2818
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Country | US
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Telephone | 252-744-4757
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Fax | 252-744-4125
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Provider Business Mailing Address
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Address Line | PO BOX 751069 ECU PHYSICIANS
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City | CHARLOTTE
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State | NC
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Zip | 28275-1069
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 26500
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License Number State | NC
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