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General NPI Number Information
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NPI Number | 1346756772
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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 | 12/21/2017
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Last Update Date | 01/10/2022
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Provider Practice Location Address
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Address Line | 418 E 71ST ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10021-4892
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Country | US
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Telephone | 212-535-8932
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Fax | 212-535-5443
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Provider Business Mailing Address
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Address Line | 418 E 71ST ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10021-4892
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Country | US
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Telephone | 212-535-8932
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Fax | 212-535-5443
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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 | 2084P0301X
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Taxonomy Name | Brain Injury Medicine (Psychiatry & Neurology) Physician
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License Number | 107557
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | 107577-01
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License Number State | NY
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