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General NPI Number Information
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NPI Number | 1528394715
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Entity Type | Individual
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Provider Name | TIMOTHY W. BROWN DO
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Gender | Male
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 1211 FISH HATCHERY RD
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City | MADISON
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State | WI
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Zip | 53715-1909
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Country | US
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Telephone | 608-252-8000
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Fax | 608-258-6933
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Provider Business Mailing Address
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Address Line | PO BOX 259810
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City | MADISON
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State | WI
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Zip | 53725-9810
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Country | US
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Telephone | 315-783-9950
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 66538
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA1395
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 81208-21
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License Number State | WI
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