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General NPI Number Information
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NPI Number | 1497753735
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Entity Type | Organization
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Legal Business Name | BROWN ORTHOPAEDIC SURGERY & SPORTS MEDICINE CENTER, P.A.
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 605 ATTAIN ST
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-1972
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Country | US
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Telephone | 919-561-3139
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Fax | 919-557-9251
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Provider Business Mailing Address
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Address Line | 605 ATTAIN ST
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-1972
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Country | US
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Telephone | 919-561-3139
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Fax | 919-557-9251
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | HOWARD RICHARD BROWN
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Credential | M.D.
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Telephone | 910-891-2677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 200001043475
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 200001043475
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License Number State | NC
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