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General NPI Number Information
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NPI Number | 1124067251
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Entity Type | Individual
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Provider Name | EDWARD BROWN PA - C
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 2500 ROCKY MOUNTAIN AVE STE 100
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City | LOVELAND
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State | CO
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Zip | 80538-9004
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Country | US
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Telephone | 970-221-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 950248
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City | LOUISVILLE
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State | KY
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Zip | 40295-0248
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Country | US
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Telephone | 502-253-4900
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Fax | 502-489-5750
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0004436
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License Number State | CO
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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 | PA170
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License Number State | KY
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