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General NPI Number Information
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NPI Number | 1144772211
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Entity Type | Individual
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Provider Name | MICHELLE BROWN DDS
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Gender | Female
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 6000 LAUREL BOWIE RD
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City | BOWIE
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State | MD
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Zip | 20715-4000
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Country | US
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Telephone | 301-923-4428
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Fax |
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Provider Business Mailing Address
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Address Line | 3120 WALNUT ST NE
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City | WASHINGTON
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State | DC
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Zip | 20018-4016
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Country | US
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Telephone | 310-654-6692
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 18413
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License Number State | MD
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