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General NPI Number Information
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NPI Number | 1578062758
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Entity Type | Individual
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Provider Name | ROBYNNE BROWN
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Gender | Female
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 02/02/2018
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Provider Practice Location Address
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Address Line | 59 CODDINGTON ST STE 103
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City | QUINCY
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State | MA
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Zip | 02169-4510
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Country | US
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Telephone | 781-933-9399
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Fax |
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Provider Business Mailing Address
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Address Line | 11 VINEYARD RD
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City | NEWTON
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State | MA
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Zip | 02459-1003
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Country | US
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Telephone |
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | PA435
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License Number State | MA
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