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General NPI Number Information
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NPI Number | 1699858043
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Entity Type | Organization
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Legal Business Name | RICHARD D. BROWN MD, INC.
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Dates
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Enumeration Date | 10/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1502 OKLAHOMA AVE
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City | WOODWARD
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State | OK
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Zip | 73801-4357
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Country | US
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Telephone | 589-256-5100
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Fax | 580-256-5429
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Provider Business Mailing Address
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Address Line | 1502 OKLAHOMA AVE
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City | WOODWARD
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State | OK
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Zip | 73801-4357
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Country | US
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Telephone | 589-256-5100
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Fax | 580-256-5429
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | RICHARD DENNIS BROWN
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Credential | MD
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Telephone | 580-256-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 14404
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License Number State | OK
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