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NPI 1255392445

NPI 1255392445 : VERMELLE L BROWN-HROBOWSKI DDS : DOUGLASVILLE, GA

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General NPI Number Information
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    NPI Number           |    1255392445
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    Entity Type          |    Individual 
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    Provider Name        |    VERMELLE L BROWN-HROBOWSKI DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/29/2006
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    Last Update Date     |    04/15/2024
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Provider Practice Location Address
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    Address Line         |    3000 CHAPEL HILL RD STE 104 
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    City                 |    DOUGLASVILLE
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    State                |    GA
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    Zip                  |    30135-1841
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    Country              |    US
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    Telephone            |    770-920-0112
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    775 S PARK ST STE 101 
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    City                 |    CARROLLTON
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    State                |    GA
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    Zip                  |    30117-3813
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    Country              |    US
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    Telephone            |    678-839-0031
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    Fax                  |    678-245-7173
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    60752
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DN122508
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    License Number State |    GA
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