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General NPI Number Information
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NPI Number | 1578897989
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Entity Type | Individual
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Provider Name | VINCENT WILLIAM BROWN L.AC.
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Gender | Male
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 10/01/2009
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Provider Practice Location Address
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Address Line | 1780 WHIPPLE RD STE 105
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City | UNION CITY
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State | CA
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Zip | 94587-1954
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Country | US
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Telephone | 510-475-1858
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 SAN LEANDRO ST APT 2
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City | OAKLAND
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State | CA
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Zip | 94601-4052
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Country | US
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Telephone | 510-269-3305
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC11003
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License Number State | CA
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