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General NPI Number Information
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NPI Number | 1376923748
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Entity Type | Individual
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Provider Name | JUDITH NGOZI BROWN D.O
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Gender | Female
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 810 W HIGHWAY 71
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City | MARBLE FALLS
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State | TX
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Zip | 78654-8602
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Country | US
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Telephone | 254-724-2111
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Fax | 630-978-6791
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Provider Business Mailing Address
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Address Line | 2401 S 31ST ST # MSARM200
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City | TEMPLE
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State | TX
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Zip | 76508-0001
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 36148823
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | U8169
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License Number State | TX
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