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General NPI Number Information
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NPI Number | 1215216049
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Entity Type | Organization
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Legal Business Name | KENNETH C BROWNING, D.O., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 4315 BROCKTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92501-3448
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Country | US
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Telephone | 951-784-6472
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Fax | 951-784-5732
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Provider Business Mailing Address
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Address Line | 4315 BROCKTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92501-3448
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Country | US
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Telephone | 951-784-6472
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Fax | 951-784-5732
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SANDY BROWNING
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Credential |
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Telephone | 951-784-6472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A4663
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License Number State | CA
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