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NPI 1194807867

NPI 1194807867 : CHRISTOPHER S BROWN D.C : QUINCY, MA

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General NPI Number Information
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    NPI Number           |    1194807867
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER S BROWN D.C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/20/2006
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    Last Update Date     |    12/15/2015
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Provider Practice Location Address
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    Address Line         |    250 COPELAND ST 
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    City                 |    QUINCY
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    State                |    MA
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    Zip                  |    02169-4073
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    Country              |    US
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    Telephone            |    617-328-0839
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    Fax                  |    617-328-8885
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Provider Business Mailing Address
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    Address Line         |    250 COPELAND ST 
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    City                 |    QUINCY
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    State                |    MA
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    Zip                  |    02169-4073
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    Country              |    US
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    Telephone            |    617-328-0839
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    Fax                  |    617-328-8885
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    2718
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    License Number State |    MA
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