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General NPI Number Information
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NPI Number | 1265488142
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Entity Type | Organization
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Legal Business Name | HAROLD BROWN MD
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 804 E FRONT ST
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City | BUCHANAN
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State | MI
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Zip | 49107-1444
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Country | US
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Telephone | 269-695-3897
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Fax | 269-695-0460
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Provider Business Mailing Address
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Address Line | 804 E FRONT ST
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City | BUCHANAN
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State | MI
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Zip | 49107-1444
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Country | US
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Telephone | 269-695-3897
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Fax | 269-695-0460
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Authorized Official
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Title or Position | MD - PROPRIETOR (OWNER)
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Name | HAROLD E BROWN
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Credential | MD
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Telephone | 269-695-3897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 030811
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License Number State | MI
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