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General NPI Number Information
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NPI Number | 1548377179
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Entity Type | Individual
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Provider Name | DONALD EDWARD BROWN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 100 PROFESSIONAL DR STE 2
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City | LONDON
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State | KY
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Zip | 40741-8844
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Country | US
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Telephone | 606-330-4220
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Fax | 606-330-4249
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Provider Business Mailing Address
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Address Line | PO BOX 1325
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City | CORBIN
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State | KY
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Zip | 40702-1325
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Country | US
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Telephone | 606-526-8131
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Fax | 606-528-8661
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 21708
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License Number State | KY
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