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General NPI Number Information
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NPI Number | 1225250939
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Entity Type | Organization
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Legal Business Name | J DAVID BROWN DPM
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/12/2014
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Provider Practice Location Address
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Address Line | 3011 S LINDSAY RD #113
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City | GILBERT
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State | AZ
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Zip | 85295
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Country | US
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Telephone | 480-759-6737
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Fax | 480-759-5404
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Provider Business Mailing Address
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Address Line | 3011 S LINDSAY RD #113
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City | GILBERT
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State | AZ
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Zip | 85295
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Country | US
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Telephone | 480-759-6737
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Fax | 480-759-5404
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Authorized Official
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Title or Position | OWNER
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Name | DR. J DAVID BROWN
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Credential | DPM
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Telephone | 480-759-6737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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