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General NPI Number Information
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NPI Number | 1538115985
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Entity Type | Individual
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Provider Name | JANE AUDREY BROWN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 495 WESTERN AVE
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City | BRIGHTON
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State | MA
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Zip | 02135-1007
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Country | US
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Telephone | 617-783-0500
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Fax | 617-562-1398
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Provider Business Mailing Address
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Address Line | 11 JUNIPER LN
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City | DOVER
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State | MA
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Zip | 02030-2147
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Country | US
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Telephone | 508-785-1312
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 55208
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License Number State | MA
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