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General NPI Number Information
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NPI Number | 1255998076
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Entity Type | Individual
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Provider Name | SCOTT MICHAEL BROWN DO
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Gender | Male
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Dates
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Enumeration Date | 05/28/2019
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 18511 HIGHLANDER MEDICS ST
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City | FORT BLISS
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State | TX
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Zip | 79906-5327
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Country | US
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Telephone | 915-742-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 18511 HIGHLANDER MEDICS ST
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City | FORT BLISS
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State | TX
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Zip | 79906-5327
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Country | US
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Telephone | 915-742-7777
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | V9565
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OP61075581
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License Number State | WV
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