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General NPI Number Information
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NPI Number | 1265408637
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Entity Type | Individual
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Provider Name | RONALD DUANE BROWN MD
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1630 ANDERSON AVE WHITESELL MEDICAL STAFFING
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City | BUFFALO
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State | MN
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Zip | 55313
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Country | US
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Telephone | 763-682-5906
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Fax | 763-684-0243
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Provider Business Mailing Address
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Address Line | 10448 GULDEN AVE NW
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City | MAPLE LAKE
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State | MN
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Zip | 55358
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Country | US
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Telephone | 320-963-3054
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36485
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MN23425
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License Number State | MN
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