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NPI 1093767550

NPI 1093767550 : MARK BROWN MD : NAPLES, FL

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General NPI Number Information
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    NPI Number           |    1093767550
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    Entity Type          |    Individual 
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    Provider Name        |    MARK BROWN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/16/2006
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    Last Update Date     |    03/17/2018
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Provider Practice Location Address
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    Address Line         |    800 GOODLETTE RD N STE 370
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34102-5400
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    Country              |    US
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    Telephone            |    239-624-0800
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    Fax                  |    239-643-9062
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Provider Business Mailing Address
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    Address Line         |    800 GOODLETTE RD N STE 370
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34102-5400
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    Country              |    US
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    Telephone            |    239-624-0800
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    Fax                  |    239-643-9062
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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        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    ME60769
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    License Number State |    FL
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