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General NPI Number Information
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NPI Number | 1255687638
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Entity Type | Individual
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Provider Name | RICHMOND JAY BROWNSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2012
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Last Update Date | 08/03/2012
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Provider Practice Location Address
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Address Line | 7906 E 55TH STREET
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City | TULSA
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State | OK
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Zip | 74145
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Country | US
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Telephone | 918-481-6022
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Fax |
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Provider Business Mailing Address
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Address Line | 6115 SOUTH OSWEGO AVENUE
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City | TULSA
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State | OK
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Zip | 74136-1511
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Country | US
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Telephone | 918-485-1912
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Fax | 918-495-1447
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 8479
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License Number State | OK
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