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General NPI Number Information
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NPI Number | 1538267224
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Entity Type | Organization
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Legal Business Name | HJBROWN&ASSOCIATES, D.D.S., PA
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 410 W 14TH ST
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City | GREENVILLE
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State | NC
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Zip | 27834-4074
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Country | US
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Telephone | 252-758-8110
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Fax | 252-758-1040
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Provider Business Mailing Address
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Address Line | 410 W 14TH ST
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City | GREENVILLE
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State | NC
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Zip | 27834-4074
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Country | US
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Telephone | 252-758-8110
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Fax | 252-758-1040
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Authorized Official
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Title or Position | DR
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Name | DR. HAZEL JOHNSON BROWN
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Credential | .D.D.S.
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Telephone | 252-758-8110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4467
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License Number State | NC
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