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General NPI Number Information
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NPI Number | 1487069381
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Entity Type | Organization
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Legal Business Name | STEVEN BROWN DDS A PROFESSIONAL CORP
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 3480 TORRANCE BLVD SUITE 100
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City | TORRANCE
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State | CA
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Zip | 90503-5808
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Country | US
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Telephone | 310-543-1234
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Fax | 310-543-8795
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Provider Business Mailing Address
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Address Line | 3480 TORRANCE BLVD SUITE 100
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City | TORRANCE
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State | CA
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Zip | 90503-5808
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Country | US
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Telephone | 310-543-1234
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Fax | 310-543-8795
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. STEVEN BRUCE BROWN
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Credential | DDS
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Telephone | 310-543-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 33696
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License Number State | CA
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