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General NPI Number Information
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NPI Number | 1578781571
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Entity Type | Organization
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Legal Business Name | BROWN DENTAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 915 WEST MAIN STREET
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City | ABINGDON
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State | VA
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Zip | 24210
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Country | US
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Telephone | 276-628-9507
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Fax | 276-628-9439
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Provider Business Mailing Address
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Address Line | 915 W MAIN ST
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City | ABINGDON
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State | VA
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Zip | 24210-2442
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Country | US
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Telephone | 276-628-9507
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Fax | 276-628-9439
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NICKIE ASHER
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Credential |
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Telephone | 276-628-9507
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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 | 0401003814
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401410847
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401004605
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License Number State | VA
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