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General NPI Number Information
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NPI Number | 1487704367
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Entity Type | Organization
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Legal Business Name | NICHOLAS BROWN DC INC
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 2704 DELTA OAKS DR
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City | EUGENE
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State | OR
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Zip | 97408-1740
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Country | US
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Telephone | 541-484-0360
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Fax | 541-484-9036
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Provider Business Mailing Address
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Address Line | 2704 DELTA OAKS DR
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City | EUGENE
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State | OR
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Zip | 97408-1740
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Country | US
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Telephone | 541-484-0360
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Fax | 541-484-9036
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | NICHOLAS RYAN BROWN
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Credential | DC
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Telephone | 541-484-0360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 272883
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License Number State | OR
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