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General NPI Number Information
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NPI Number | 1770034159
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Entity Type | Individual
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Provider Name | DANIELLE ALYSE BROWN DDS
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Gender | Female
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 8540 S SEPULVEDA BLVD 1102
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City | LOS ANGELES
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State | CA
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Zip | 90045-3807
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Country | US
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Telephone | 310-641-6369
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Fax |
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Provider Business Mailing Address
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Address Line | 437 W QUEEN ST #8
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City | INGLEWOOD
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State | CA
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Zip | 90301-1191
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Country | US
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Telephone | 310-431-5341
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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 | 100871
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License Number State | CA
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