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General NPI Number Information
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NPI Number | 1689961054
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Entity Type | Individual
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Provider Name | RACHEL M. BROWN P.A.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 11/22/2013
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Provider Practice Location Address
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Address Line | 6245 SHERIDAN DR SUITE 116
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-4834
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Country | US
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Telephone | 176-472-9204
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 TOWN LINE RD
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City | LANCASTER
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State | NY
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Zip | 14086-9705
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Country | US
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Telephone | 716-364-0025
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 014871
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License Number State | NY
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