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General NPI Number Information
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NPI Number | 1750932273
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Entity Type | Organization
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Legal Business Name | MICHAEL R. BROWN DDS MS
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 1240 E 100 S STE 120
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City | ST GEORGE
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State | UT
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Zip | 84790-3079
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Country | US
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Telephone | 435-634-9933
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Fax | 435-634-9930
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Provider Business Mailing Address
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Address Line | 1240 E 100 S STE 120
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City | ST GEORGE
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State | UT
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Zip | 84790-3079
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Country | US
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Telephone | 435-634-9933
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Fax | 435-634-9930
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL RORY BROWN
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Credential | DDS, MS
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Telephone | 435-634-9933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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