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General NPI Number Information
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NPI Number | 1306111232
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Entity Type | Individual
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Provider Name | OLABISI JARRETT BROWN DPT, BCB-PMD
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Gender | Female
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Dates
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Enumeration Date | 03/09/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2900 CHAMBLEE TUCKER RD BUIDING 3 SUITE 200
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City | ATLANTA
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State | GA
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Zip | 30341-4100
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Country | US
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Telephone | 404-935-9000
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Fax | 404-935-9009
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Provider Business Mailing Address
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Address Line | 2900 CHAMBLEE TUCKER ROAD BUILDING 3 SUITE 200
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City | ATLANTA
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State | GA
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Zip | 30341-4100
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Country | US
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Telephone | 404-935-9000
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Fax | 404-935-9009
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT007193
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License Number State | GA
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