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General NPI Number Information
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NPI Number | 1285642959
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Entity Type | Individual
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Provider Name | EVLYN BROWN MD
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Gender | Female
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 360 SNEDIKER AVE
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City | BROOKLYN
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State | NY
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Zip | 11207-4552
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Country | US
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Telephone | 646-459-9400
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Fax | 646-459-9455
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Provider Business Mailing Address
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Address Line | 592 ROCKAWAY AVE
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City | BROOKLYN
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State | NY
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Zip | 11212-5539
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Country | US
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Telephone | 718-345-5000
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Fax | 718-345-5794
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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 | ME117067
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License Number State | FL
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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 | 2009-01964
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 226326
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License Number State | NY
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