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General NPI Number Information
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NPI Number | 1336419423
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Entity Type | Individual
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Provider Name | MARION LOIS BROWN D.O.
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Gender | Female
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 11/25/2013
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Provider Practice Location Address
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Address Line | 240 APPLEWOOD DR UNIT #3
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City | LEWISBURG
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State | PA
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Zip | 17837-6203
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Country | US
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Telephone | 570-713-4433
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Fax |
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Provider Business Mailing Address
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Address Line | 240 APPLEWOOD DRIVE UNIT #3
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City | LEWISBURG
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State | PA
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Zip | 17837
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Country | US
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Telephone | 570-713-4433
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS-003903-L
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License Number State | PA
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