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General NPI Number Information
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NPI Number | 1699180356
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Entity Type | Individual
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Provider Name | HEATHER BROWN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2014
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Last Update Date | 08/25/2019
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Provider Practice Location Address
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Address Line | 7420 NW 5TH ST STE 101
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City | PLANTATION
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State | FL
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Zip | 33317-1611
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Country | US
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Telephone | 954-791-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 219 MALLORY CT
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City | WESTON
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State | FL
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Zip | 33326-3416
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Country | US
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Telephone | 540-533-4227
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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 | DS040058
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License Number State | PA
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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 | 0401414695
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN24016
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License Number State | FL
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