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General NPI Number Information
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NPI Number | 1356332092
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Entity Type | Individual
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Provider Name | EILEEN LUQUE BROWN MD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 506 E CHEVES ST
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City | FLORENCE
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State | SC
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Zip | 29506-2616
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Country | US
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Telephone | 843-667-9414
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Fax | 843-667-4133
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Provider Business Mailing Address
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Address Line | 600 E PALMETTO ST SUITE 301
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City | FLORENCE
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State | SC
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Zip | 29506-2851
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Country | US
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Telephone | 843-667-9414
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Fax | 843-667-4133
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35235
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License Number State | SC
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