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General NPI Number Information
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NPI Number | 1538488788
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Entity Type | Individual
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Provider Name | JULIE IRENE BROWN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 3900 28TH AVENUE DR STE 200
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City | MOLINE
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State | IL
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Zip | 61265-5540
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Country | US
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Telephone | 309-281-6000
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Fax | 309-281-6009
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Provider Business Mailing Address
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Address Line | 3900 28TH AVENUE DR STE 200
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City | MOLINE
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State | IL
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Zip | 61265-5540
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Country | US
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Telephone | 309-281-6000
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Fax | 309-281-6009
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TRN15064
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME111895
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036.133697
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License Number State | IL
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