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General NPI Number Information
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NPI Number | 1326192568
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Entity Type | Individual
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Provider Name | JASON F. BROWN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 02/18/2013
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Provider Practice Location Address
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Address Line | 1811 FREEDOM DR STE 113
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City | NAPERVILLE
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State | IL
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Zip | 60563-5704
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Country | US
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Telephone | 630-245-0200
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Fax | 630-245-4305
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Provider Business Mailing Address
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Address Line | 1811 FREEDOM DR STE 113
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City | NAPERVILLE
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State | IL
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Zip | 60563-5704
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Country | US
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Telephone | 630-245-0200
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Fax | 630-245-4305
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019-025403
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License Number State | IL
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