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NPI 1174580732

NPI 1174580732 : DAVID W BROWN MD : CLEVELAND, OH

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General NPI Number Information
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    NPI Number           |    1174580732
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID W BROWN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/27/2006
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    Last Update Date     |    10/05/2021
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Provider Practice Location Address
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    Address Line         |    9500 EUCLID AVE 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44195-0001
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    Country              |    US
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    Telephone            |    216-448-0621
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9500 EUCLID AVE 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44195-0001
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    Country              |    US
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    Telephone            |    216-448-0621
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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        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    MD10212
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    License Number State |    HI
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Taxonomy #2
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    Taxonomy Code        |    2085U0001X
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    Taxonomy Name        |    Diagnostic Ultrasound Physician
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    License Number       |    MD10212
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    License Number State |    HI
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Taxonomy #3
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    Taxonomy Code        |    2085N0904X
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    Taxonomy Name        |    Nuclear Radiology Physician
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    License Number       |    MD10212
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    License Number State |    HI
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Taxonomy #4
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    35089928
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    License Number State |    OH
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Taxonomy #5
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    MD10212
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    License Number State |    HI
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