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General NPI Number Information
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NPI Number | 1497148563
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Entity Type | Individual
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Provider Name | EMILY BROWN
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Gender | Female
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 1126 N GRAND AVE
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City | COVINA
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State | CA
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Zip | 91724-1551
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Country | US
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Telephone | 626-254-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 146 S WASHINGTON AVE
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City | GLENDORA
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State | CA
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Zip | 91741-4243
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Country | US
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Telephone | 626-824-4914
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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