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NPI 1376623132

NPI 1376623132 : DANIEL T BROWN D.D.S. : MILFORD, OH

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General NPI Number Information
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    NPI Number           |    1376623132
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL T BROWN D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/16/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1170 STATE ROUTE 28 
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    City                 |    MILFORD
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    State                |    OH
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    Zip                  |    45150-2155
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    Country              |    US
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    Telephone            |    513-575-9600
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    Fax                  |    513-575-5213
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Provider Business Mailing Address
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    Address Line         |    3051 SPENCER HILL DR 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45226-1986
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    Country              |    US
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    Telephone            |    513-871-2771
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    Fax                  |    513-871-2772
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    16041
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    License Number State |    OH
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