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General NPI Number Information
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NPI Number | 1457497927
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Entity Type | Individual
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Provider Name | CAROL MARIE BROWN DO
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8825 S HOWELL AVE
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City | OAK CREEK
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State | WI
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Zip | 53154-3760
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Country | US
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Telephone | 414-764-0920
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Fax | 414-764-8134
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Provider Business Mailing Address
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Address Line | 3205 S ANN LOUISE DR
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City | NEW BERLIN
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State | WI
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Zip | 53146-2320
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Country | US
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Telephone | 262-548-0029
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Fax | 262-521-3005
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20848
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License Number State | WI
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