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General NPI Number Information
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NPI Number | 1326240292
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Entity Type | Organization
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Legal Business Name | J. TODD BROWN DMD
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 125 POWELL MILL RD STE. C
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City | SPARTANBURG
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State | SC
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Zip | 29301-1531
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Country | US
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Telephone | 864-574-0788
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Fax | 864-576-5359
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Provider Business Mailing Address
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Address Line | 125 POWELL MILL RD STE. C
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City | SPARTANBURG
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State | SC
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Zip | 29301-1531
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Country | US
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Telephone | 864-574-0788
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Fax | 864-576-5359
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | JAMES TODD BROWN
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Credential | D.M.D.
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Telephone | 864-574-0788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30-03313
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License Number State | SC
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