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General NPI Number Information
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NPI Number | 1629313671
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Entity Type | Individual
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Provider Name | MRS. KAREN GERILYN BROWN
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Gender | Female
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 15197 CLAYTON RD
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City | CHESTERFIELD
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State | MO
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Zip | 63017-7048
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Country | US
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Telephone | 636-394-7515
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Fax |
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Provider Business Mailing Address
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Address Line | 2804 WESTRIDGE OAKS CT
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City | WILDWOOD
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State | MO
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Zip | 63040-1129
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Country | US
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Telephone | 314-578-1553
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 01592
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License Number State | MO
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