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General NPI Number Information
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NPI Number | 1598724684
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Entity Type | Individual
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Provider Name | ROBERT C BROWN
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Gender | Male
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 8857 1ST ST STE 400 DDG CLASSRON-EHSLANT
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City | NORFOLK
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State | VA
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Zip | 23511-3713
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Country | US
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Telephone | 757-445-7255
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Fax | 757-445-3088
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Provider Business Mailing Address
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Address Line | DDG CLASSRON 8857 FIRST STREET, SUITE 400
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City | FPO
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State | AE
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Zip | 23511
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Country | US
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Telephone | 757-445-7255
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Fax | 757-445-3088
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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 | 1710I1002X
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Taxonomy Name | Independent Duty Corpsman
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License Number |
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License Number State |
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