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General NPI Number Information
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NPI Number | 1568642940
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Entity Type | Organization
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Legal Business Name | JANELLA F. BROWN ,D.M.D. PSC.
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 318 PUBLIC SQ
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City | COLUMBIA
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State | KY
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Zip | 42728-1456
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Country | US
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Telephone | 270-384-3481
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Fax | 270-385-9866
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Provider Business Mailing Address
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Address Line | 318 PUBLIC SQ
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City | COLUMBIA
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State | KY
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Zip | 42728-1456
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Country | US
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Telephone | 270-384-3481
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Fax | 270-385-9866
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. SHEILA A. MCCLISTER
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Credential |
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Telephone | 270-384-3481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 6910
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6910
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License Number State | KY
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