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General NPI Number Information
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NPI Number | 1538699723
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Entity Type | Individual
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Provider Name | JOSHUA ROBERT BROWNELL MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 36100 N BROOKSIDE DR STE 203
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City | GURNEE
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State | IL
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Zip | 60031-4573
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Country | US
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Telephone | 847-855-1570
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Fax | 847-855-1890
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Provider Business Mailing Address
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Address Line | 9800 SHELBYVILLE RD STE 220
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City | LOUISVILLE
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State | KY
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Zip | 40223-2992
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Country | US
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Telephone | 305-595-0109
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 73010-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2017020344
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 036-160946
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License Number State | IL
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