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General NPI Number Information
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NPI Number | 1700841061
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Entity Type | Individual
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Provider Name | ADAM C BROWN O.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 60 W BROMLEY LN
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City | BRIGHTON
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State | CO
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Zip | 80601-3026
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Country | US
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Telephone | 303-654-0377
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Fax |
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Provider Business Mailing Address
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Address Line | 12783 JASMINE CT
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City | THORNTON
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State | CO
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Zip | 80602-4680
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Country | US
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Telephone | 303-522-2511
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2310
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License Number State | CO
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