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General NPI Number Information
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NPI Number | 1356668644
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Entity Type | Organization
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Legal Business Name | HOSEA E BROWN MD INC
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 04/26/2010
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Provider Practice Location Address
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Address Line | 3755 KARICIO LN SUITE 2A
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City | PRESCOTT
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State | AZ
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Zip | 86303-6836
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Country | US
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Telephone | 928-445-4645
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Fax | 760-320-6244
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Provider Business Mailing Address
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Address Line | PO BOX 1503
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City | PALM SPRINGS
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State | CA
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Zip | 92263-1503
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Country | US
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Telephone | 760-320-9464
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Fax | 760-320-6244
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. HOSEA E BROWN
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Credential | M.D.
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Telephone | 760-320-9464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 24719
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License Number State | AZ
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