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General NPI Number Information
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NPI Number | 1275709651
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Entity Type | Individual
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Provider Name | STEPHEN E BROWN MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 5324 TWIN HICKORY RD SUITE 103
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5753
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Country | US
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Telephone | 804-212-1070
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Fax | 804-212-3227
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Provider Business Mailing Address
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Address Line | PO BOX 2341
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City | GLEN ALLEN
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State | VA
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Zip | 23058-2341
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Country | US
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Telephone | 804-212-1070
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Fax | 804-212-3227
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101229484
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License Number State | VA
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