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General NPI Number Information
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NPI Number | 1255710802
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Entity Type | Individual
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Provider Name | SPANDANA JAGANNATH BROWN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 4191 BELLAIRE BLVD STE 250
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City | HOUSTON
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State | TX
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Zip | 77025-1017
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Country | US
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Telephone | 346-356-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 MEADOW GLADE COURT
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City | SUGAR LAND
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State | TX
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Zip | 77479
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Country | US
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Telephone | 713-818-3727
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10053916
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | S4447
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License Number State | TX
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