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General NPI Number Information
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NPI Number | 1215281019
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Entity Type | Individual
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Provider Name | ELIZABETH BROWN D.O
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Gender | Female
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 100 DRAKES LANDING RD # A SUITE 225
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City | GREENBRAE
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State | CA
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Zip | 94904-2404
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Country | US
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Telephone | 415-461-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 9 COMMERCIAL BLVD SUITE 200
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City | NOVATO
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State | CA
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Zip | 94949-6118
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20A12407
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License Number State | CA
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