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General NPI Number Information
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NPI Number | 1609357565
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Entity Type | Individual
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Provider Name | REBECCA L BROWN DC
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Gender | Female
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 528 SHEPHERDS DR
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City | WEST BEND
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State | WI
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Zip | 53090-8488
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Country | US
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Telephone | 262-208-5105
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Fax |
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Provider Business Mailing Address
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Address Line | 4780 SUSAN LEE CT
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City | WEST BEND
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State | WI
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Zip | 53090-9398
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5304-12
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License Number State | WI
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