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General NPI Number Information
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NPI Number | 1265241657
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Entity Type | Individual
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Provider Name | GUY PATRICK BROWN JR.
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Gender | Male
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 3729 DEWEY DR NE
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City | ZOARVILLE
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State | OH
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Zip | 44656-8913
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Country | US
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Telephone | 330-859-5024
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Fax |
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Provider Business Mailing Address
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Address Line | 2307 MAGNOLIA RD NW
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City | MAGNOLIA
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State | OH
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Zip | 44643-9525
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Country | US
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Telephone | 330-418-8813
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | OH
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