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General NPI Number Information
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NPI Number | 1629389903
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Entity Type | Individual
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Provider Name | MS. GAIL MORTON BROWN
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Gender | Female
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | 30 S ARMISTEAD AVE
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City | HAMPTON
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State | VA
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Zip | 23669-4017
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Country | US
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Telephone | 757-726-0340
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Fax | 757-726-0345
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Provider Business Mailing Address
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Address Line | 873 YORKSHIRE LN
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-9308
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Country | US
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Telephone | 757-870-8388
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Fax | 757-833-0771
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202004333
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License Number State | VA
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