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General NPI Number Information
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NPI Number | 1114597242
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Entity Type | Individual
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Provider Name | COREY LAMONT BROWN JR. ACUPUNCTURIST, DAOM
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Gender | Male
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 2121 S ONEIDA ST STE 150
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City | DENVER
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State | CO
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Zip | 80224-2500
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Country | US
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Telephone | 720-443-0316
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 E CHERRY CREEK SOUTH DR APT H100
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City | DENVER
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State | CO
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Zip | 80246-7844
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Country | US
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Telephone | 720-443-0316
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0002684
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU.0002684
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License Number State | CO
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