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General NPI Number Information
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NPI Number | 1275668295
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH BROWN M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 45155 RESEARCH PL SUITE 125
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City | ASHBURN
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State | VA
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Zip | 20147-4191
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Country | US
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Telephone | 703-726-1175
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Fax | 703-726-9975
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Provider Business Mailing Address
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Address Line | 45155 RESEARCH PL SUITE 125
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City | ASHBURN
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State | VA
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Zip | 20147-4191
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Country | US
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Telephone | 703-726-1175
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Fax | 703-726-9975
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 0101225608
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License Number State | VA
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