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General NPI Number Information
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NPI Number | 1740731637
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Entity Type | Individual
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Provider Name | MORGAN BROWN PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 10/22/2018
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Provider Practice Location Address
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Address Line | 1111 LOCKHEED MARTIN WAY
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City | SUNNYVALE
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State | CA
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Zip | 94089-1212
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Country | US
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Telephone | 304-531-1156
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Fax |
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Provider Business Mailing Address
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Address Line | 3229 EL CAMINO REAL APT 466
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City | SANTA CLARA
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State | CA
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Zip | 95051-2874
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Country | US
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Telephone | 304-531-1156
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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 | 56069
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 8135
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License Number State | GA
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