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NPI 1225072465

NPI 1225072465 : HARVEY BROWN : SEBASTIAN, FL

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General NPI Number Information
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    NPI Number           |    1225072465
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    Entity Type          |    Individual 
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    Provider Name        |    HARVEY BROWN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/16/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1623 US HIGHWAY 1 STE A-4
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    City                 |    SEBASTIAN
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    State                |    FL
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    Zip                  |    32958-3879
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    Country              |    US
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    Telephone            |    772-388-2001
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    Fax                  |    772-581-2966
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Provider Business Mailing Address
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    Address Line         |    5000 CHESHIRE LN N 
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    City                 |    PLYMOUTH
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    State                |    MN
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    Zip                  |    55446-3706
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    Country              |    US
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    Telephone            |    888-333-9152
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    Fax                  |    763-268-4240
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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        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    AS1361
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    License Number State |    FL
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