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NPI 1619181716

NPI 1619181716 : JAMES BROWN MD PLC : FLINT, MI

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General NPI Number Information
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    NPI Number           |    1619181716
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    Entity Type          |    Organization 
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    Legal Business Name  |    JAMES BROWN MD PLC 
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Dates
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    Enumeration Date     |    05/09/2007
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    Last Update Date     |    08/20/2009
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Provider Practice Location Address
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    Address Line         |    1104 S LINDEN RD STE 2
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    City                 |    FLINT
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    State                |    MI
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    Zip                  |    48532-3452
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    Country              |    US
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    Telephone            |    810-733-5500
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    Fax                  |    810-733-5481
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Provider Business Mailing Address
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    Address Line         |    1104 S LINDEN RD STE 2
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    City                 |    FLINT
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    State                |    MI
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    Zip                  |    48532-3452
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    Country              |    US
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    Telephone            |    810-733-5500
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    Fax                  |    810-733-5481
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JAMES  BROWN 
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    Credential           |    MD
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    Telephone            |    810-686-6050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    4301064316
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    License Number State |    MI
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