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General NPI Number Information
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NPI Number | 1376926220
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Entity Type | Individual
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Provider Name | DANA BROWN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 6210 BEACH BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32216
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Country | US
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Telephone | 904-345-8340
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Fax |
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Provider Business Mailing Address
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Address Line | 4213 MARBLEWOOD LN
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City | JACKSONVILLE
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State | FL
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Zip | 32216-3614
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Country | US
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Telephone | 330-704-8907
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 30395
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License Number State | FL
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