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General NPI Number Information
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NPI Number | 1447558515
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Entity Type | Organization
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Legal Business Name | BROWN CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 03/14/2011
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Last Update Date | 03/14/2011
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Provider Practice Location Address
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Address Line | 1108 W 5TH ST
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City | WASHINGTON
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State | IA
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Zip | 52353-3005
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Country | US
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Telephone | 319-653-3336
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Fax | 866-735-0977
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Provider Business Mailing Address
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Address Line | 1108 W 5TH ST
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City | WASHINGTON
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State | IA
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Zip | 52353-3005
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Country | US
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Telephone | 319-653-3336
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Fax | 866-735-0977
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC AND OWNER
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Name | KELLI LYNN BROWN
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Credential | D.C.
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Telephone | 319-653-3336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 007391
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License Number State | IA
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