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General NPI Number Information
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NPI Number | 1407440688
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Entity Type | Individual
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Provider Name | MR. JAROD DOUGLAS BROWELL
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Gender | Male
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Dates
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Enumeration Date | 02/27/2021
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Last Update Date | 02/27/2021
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Provider Practice Location Address
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Address Line | 2305 CURRYVILLE RD
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City | MARTINSBURG
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State | PA
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Zip | 16662-7611
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Country | US
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Telephone | 814-614-4477
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Fax |
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Provider Business Mailing Address
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Address Line | 3121 MOUNT JOY RD UNIT F
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City | MOUNT JOY
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State | PA
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Zip | 17552-9274
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Country | US
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Telephone | 717-517-2507
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | F03642
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License Number State | PA
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