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General NPI Number Information
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NPI Number | 1457724494
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Entity Type | Individual
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Provider Name | GREGORY KENT BROWN JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 12301 GREENVILLE HWY
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City | LYMAN
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State | SC
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Zip | 29365-1515
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Country | US
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Telephone | 864-729-3624
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Fax |
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Provider Business Mailing Address
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Address Line | 12301 GREENVILLE HWY
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City | LYMAN
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State | SC
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Zip | 29365-1515
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Country | US
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Telephone | 864-729-3624
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC.4038 DC
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR.0007345
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License Number State | CO
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