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General NPI Number Information
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NPI Number | 1104933779
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Entity Type | Individual
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Provider Name | RODERICK EUGENE BROWN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 123 W GERMANTOWN PIKE SUITE 2
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City | EAST NORRITON
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State | PA
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Zip | 19401-1382
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Country | US
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Telephone | 610-278-7455
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Fax | 610-278-7457
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Provider Business Mailing Address
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Address Line | 102 ANNABEL RD.
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City | NORTH WALES
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State | PA
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Zip | 19454
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Country | US
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Telephone | 215-619-0389
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Fax | 215-619-3618
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD067301L
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License Number State | PA
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