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General NPI Number Information
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NPI Number | 1639384985
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Entity Type | Individual
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Provider Name | JOANNA KRISTINE BROWN MD
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 01/15/2021
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Provider Practice Location Address
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Address Line | 125 E BROAD ST SUITE 219
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City | ELYRIA
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State | OH
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Zip | 44035-6400
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Country | US
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Telephone | 440-326-5250
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Fax | 440-326-5255
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Provider Business Mailing Address
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Address Line | 125 E BROAD ST STE 201
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City | ELYRIA
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State | OH
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Zip | 44035-6429
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Country | US
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Telephone | 440-328-3415
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Fax | 216-201-6614
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 42061
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35-096728
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License Number State | OH
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