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General NPI Number Information
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NPI Number | 1275174351
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Entity Type | Organization
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Legal Business Name | ROBERTS BROWN & ASSOCIATES
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 4300 WHEELER RD SE
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City | WASHINGTON
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State | DC
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Zip | 20032-6036
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Country | US
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Telephone | 202-562-8827
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 WHEELER RD SE
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City | WASHINGTON
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State | DC
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Zip | 20032-6036
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Country | US
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Telephone | 202-562-8827
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Fax |
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Authorized Official
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Title or Position | MANAGER/ OWNER
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Name | DR. EDWARD K BROWN JR.
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Credential | DDS, DMSC
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Telephone | 202-244-2865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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