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General NPI Number Information
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NPI Number | 1174507560
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Entity Type | Individual
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Provider Name | SHERON B BROWN M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 1020 E OGDEN AVE SUITE 214
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City | NAPERVILLE
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State | IL
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Zip | 60563-8609
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Country | US
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Telephone | 630-416-1375
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Fax | 630-416-1378
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Provider Business Mailing Address
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Address Line | 1860 PAYSPHERE CIR
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City | CHICAGO
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State | IL
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Zip | 60674-0018
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Country | US
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Telephone | 630-416-1375
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Fax | 630-416-1378
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036083670
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License Number State | IL
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