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NPI 1679980767

NPI 1679980767 : LAUREN COLLINS ERVIN BROWN DMD : BETHESDA, MD

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General NPI Number Information
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    NPI Number           |    1679980767
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN COLLINS ERVIN BROWN DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/21/2014
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    Last Update Date     |    01/07/2026
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Provider Practice Location Address
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    Address Line         |    8955 WOOD RD 
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20889-5628
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    Country              |    US
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    Telephone            |    301-295-1495
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9723 WHITLEY PARK PL 
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20814-2035
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    Country              |    US
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    Telephone            |    757-270-5483
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    0401414493
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    0401414493
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    License Number State |    VA
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