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General NPI Number Information
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NPI Number | 1205266467
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Entity Type | Individual
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Provider Name | MARY RIGHTON BROWN R.D.
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Gender | Female
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Dates
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Enumeration Date | 11/25/2013
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 1350 WALTON WAY
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City | AUGUSTA
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State | GA
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Zip | 30901-2612
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Country | US
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Telephone | 706-722-9011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31258
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City | AUGUSTA
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State | GA
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Zip | 30903-3058
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Country | US
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Telephone |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 074.0099716
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License Number State | VT
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