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General NPI Number Information
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NPI Number | 1568446847
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Entity Type | Individual
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Provider Name | SCOTT F BROWN PA
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 9305 W. THOMAS ROAD SUITE 505
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City | PHOENIX
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State | AZ
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Zip | 85037
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Country | US
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Telephone | 480-443-8400
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Fax | 480-443-8697
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Provider Business Mailing Address
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Address Line | 4550 E. BELL ROAD SUITE 170
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City | PHOENIX
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State | AZ
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Zip | 85032
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Country | US
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Telephone | 480-443-8400
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Fax | 480-443-8697
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1256
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License Number State | AZ
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