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General NPI Number Information
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NPI Number | 1164677621
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Entity Type | Individual
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Provider Name | JAY G BROWNE DDS
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Gender | Male
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 3500 OLD WASHINGTON RD #204
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City | WALDORF
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State | MD
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Zip | 20602-3224
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Country | US
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Telephone | 301-843-0225
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 OLD WASHINGTON RD #204
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City | WALDORF
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State | MD
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Zip | 20602-3224
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Country | US
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Telephone | 301-843-0225
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8115
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License Number State | MD
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