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General NPI Number Information
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NPI Number | 1679580591
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Entity Type | Individual
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Provider Name | JOHN MARK BROWN MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 10/08/2014
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Provider Practice Location Address
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Address Line | 1601 SW ARCHER RD PRIMARY CARE 11-C
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City | GAINESVILLE
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State | FL
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Zip | 32608-1135
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Country | US
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Telephone | 352-548-6056
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 SW 11TH AVE APT D410
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City | GAINESVILLE
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State | FL
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Zip | 32601-8244
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Country | US
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Telephone | 352-215-7173
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29727
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME 86070
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME86070
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 29727
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License Number State | NC
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