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General NPI Number Information
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NPI Number | 1568750669
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Entity Type | Individual
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Provider Name | KANI BROWN OD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 250 NORTHAMPTON ST STE A
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City | EASTHAMPTON
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State | MA
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Zip | 01027-1198
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Country | US
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Telephone | 413-527-9284
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Fax | 413-527-8181
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Provider Business Mailing Address
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Address Line | 250 NORTHAMPTON ST STE A
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City | EASTHAMPTON
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State | MA
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Zip | 01027-1198
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Country | US
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Telephone | 413-527-9284
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Fax | 413-527-8181
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6020/T2935
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4905
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License Number State | MA
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