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General NPI Number Information
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NPI Number | 1487235107
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Entity Type | Individual
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Provider Name | LOVONNE BROWN MD
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Gender | Female
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Dates
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Enumeration Date | 04/15/2021
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 535 W 110TH ST APT 1E
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City | NEW YORK
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State | NY
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Zip | 10025-2021
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Country | US
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Telephone | 212-280-4740
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Fax |
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Provider Business Mailing Address
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Address Line | 535 W 110TH ST APT 1E
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City | NEW YORK
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State | NY
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Zip | 10025-2021
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Country | US
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Telephone | 917-624-5072
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 331590
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License Number State | NY
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