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General NPI Number Information
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NPI Number | 1487857546
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Entity Type | Individual
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Provider Name | BARRY MATTHEW BROWN CNMT
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Gender | Male
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4200 SUN' N LAKES
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City | SEBRING
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State | FL
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Zip | 33870
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Country | US
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Telephone | 540-981-7274
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Fax |
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Provider Business Mailing Address
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Address Line | 525 TOWN AND COUNTRY BLVD
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City | SEBRING
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State | FL
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Zip | 33875-5495
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Country | US
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Telephone | 863-382-9616
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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 | 2471N0900X
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Taxonomy Name | Nuclear Medicine Technology Radiologic Technologist
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License Number |
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License Number State |
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