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General NPI Number Information
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NPI Number | 1205934163
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Entity Type | Organization
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Legal Business Name | BROWN AND SUTT, PLLC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 2015 RESERVOIR ST STE C
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City | HARRISONBURG
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State | VA
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Zip | 22801-8739
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Country | US
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Telephone | 540-434-2102
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Fax | 540-434-0300
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Provider Business Mailing Address
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Address Line | 2015 RESERVOIR ST STE C, STEPHEN J BROWN DDS, PLLC
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City | HARRISONBURG
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State | VA
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Zip | 22801-8739
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Country | US
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Telephone | 540-434-2102
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Fax | 540-434-0300
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | MS. ADWOA B BAIDOO
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Credential | DMD
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Telephone | 540-434-2102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401006215
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License Number State | VA
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