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General NPI Number Information
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NPI Number | 1659570638
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Entity Type | Organization
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Legal Business Name | JAMES A BROWN MD PC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 22151 MOROSS SUITE 234
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City | DETROIT
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State | MI
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Zip | 48236
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Country | US
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Telephone | 313-885-5710
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Fax | 313-885-8755
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Provider Business Mailing Address
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Address Line | 22151 MOROSS SUITE 234
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City | DETROIT
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State | MI
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Zip | 48236
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Country | US
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Telephone | 313-885-5710
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Fax | 313-885-8755
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Authorized Official
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Title or Position | OWNER
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Name | JAMES ARTHUR BROWN
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Credential | MD
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Telephone | 315-885-5110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | JB036646
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License Number State | MI
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