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General NPI Number Information
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NPI Number | 1356428114
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Entity Type | Individual
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Provider Name | KENNETH C BROWN DC
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 37742 EUCLID AVE
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City | WILLOUGHBY
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State | OH
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Zip | 44094-5941
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Country | US
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Telephone | 440-942-1232
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Fax | 440-942-9377
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Provider Business Mailing Address
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Address Line | 2567 ANTIOCH RD
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City | PERRY
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State | OH
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Zip | 44081-9783
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Country | US
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Telephone | 440-259-5716
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 916
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License Number State | OH
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