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General NPI Number Information
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NPI Number | 1154387181
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Entity Type | Organization
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Legal Business Name | MAPLEWOOD OB-GYN PLLC
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 2830 C MAPLEWOOD AVE
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City | WINSTON-SALEM
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State | NC
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Zip | 27103
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Country | US
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Telephone | 336-760-2821
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Fax | 336-760-1076
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Provider Business Mailing Address
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Address Line | 2830 MAPLEWOOD AVE STE C
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City | WINSTON SALEM
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State | NC
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Zip | 27103-4114
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Country | US
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Telephone | 336-760-2821
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Fax | 336-760-1076
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS LAWRENCE BROWN
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Credential | MD
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Telephone | 336-760-2821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 26086
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License Number State | NC
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