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General NPI Number Information
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NPI Number | 1235293580
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Entity Type | Organization
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Legal Business Name | BROWN VISION CARE, INC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 400 WARREN AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-3807
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Country | US
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Telephone | 401-438-4447
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Fax | 401-438-4447
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Provider Business Mailing Address
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Address Line | 400 WARREN AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-3807
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Country | US
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Telephone | 401-438-4447
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Fax | 401-438-4447
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE BROWN
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Credential | O.D.
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Telephone | 401-438-4447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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