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General NPI Number Information
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NPI Number | 1316380132
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Entity Type | Individual
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Provider Name | JASON BROWN MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2013
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 9250 PINECROFT DR
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City | SHENANDOAH
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State | TX
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Zip | 77380-3218
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Country | US
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Telephone | 713-897-5508
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Fax |
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Provider Business Mailing Address
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Address Line | 34 LAZY LN
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City | SPRING
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State | TX
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Zip | 77380-1320
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Country | US
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Telephone | 210-859-0022
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 1316380132
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License Number State | TX
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