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General NPI Number Information
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NPI Number | 1629112669
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Entity Type | Organization
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Legal Business Name | DEBORAH S HUNTERBROWN MD PLLC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105 STEVENS AVE 408
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2686
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Country | US
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Telephone | 914-663-1368
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Fax | 914-663-1403
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Provider Business Mailing Address
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Address Line | 105 STEVENS AVE 408
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2686
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Country | US
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Telephone | 914-663-1368
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Fax | 914-663-1403
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Authorized Official
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Title or Position | MANAGER
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Name | DR. DEBORAH SOPHIA HUNTER-BROWN
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Credential | M.D
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Telephone | 914-663-1368
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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 | 195354
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License Number State | NY
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