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General NPI Number Information
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NPI Number | 1174712962
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Entity Type | Individual
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Provider Name | ROBERT J. BROWN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 4650 SUNSET BOULEVARD MS-54
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City | LOS ANGELES
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State | CA
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Zip | 90027-6016
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Country | US
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Telephone | 323-361-4460
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Fax | 323-361-8165
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Provider Business Mailing Address
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Address Line | 4650 SUNSET BOULEVARD MS-54
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City | LOS ANGELES
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State | CA
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Zip | 90027-6016
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Country | US
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Telephone | 323-361-2212
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Fax | 323-361-8165
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A 108632
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | A 108632
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License Number State | CA
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