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General NPI Number Information
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NPI Number | 1235338807
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Entity Type | Organization
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Legal Business Name | LYNUS BROWN JR MD PA
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 4534 WESTGATE BLVD. STE. 114
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City | AUSTIN
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State | TX
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Zip | 78745
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Country | US
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Telephone | 512-358-7184
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Fax | 512-358-7188
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Provider Business Mailing Address
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Address Line | 4534 WESTGATE BLVD. STE. 114
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City | AUSTIN
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State | TX
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Zip | 78745
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Country | US
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Telephone | 512-358-7184
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Fax | 512-358-7188
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LYNUS BROWN JR.
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Credential | M.D,
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Telephone | 512-358-7184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | H5426
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License Number State | TX
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