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General NPI Number Information
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NPI Number | 1245412055
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Entity Type | Organization
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Legal Business Name | JOHN G BROWN P A
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 1901 N 9TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-4535
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Country | US
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Telephone | 850-438-4141
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Fax | 850-438-9456
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Provider Business Mailing Address
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Address Line | 1901 N 9TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-4535
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Country | US
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Telephone | 850-438-4141
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Fax | 850-438-9456
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOHN GALEN BROWN
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Credential | D.O.
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Telephone | 850-438-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | OS0005173
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License Number State | FL
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