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General NPI Number Information
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NPI Number | 1336210749
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Entity Type | Organization
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Legal Business Name | BROWN & SMITH P.L.C.
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4811 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6547
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Country | US
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Telephone | 954-983-3548
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Fax | 954-983-1810
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Provider Business Mailing Address
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Address Line | 4811 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6547
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Country | US
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Telephone | 954-983-3548
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Fax | 954-983-1810
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Authorized Official
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Title or Position | DENTIST
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Name | DR. EDWARD BROWN
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Credential | D.M.D
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Telephone | 954-983-3548
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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 | 4530 9781
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License Number State | FL
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