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General NPI Number Information
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NPI Number | 1770861411
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Entity Type | Individual
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Provider Name | ALLYSON NOELLE BROWN O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2011
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | SVS VISION OPTICAL CENTERS 9419 WASHINGTON ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46229
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Country | US
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Telephone | 317-895-8990
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 39116
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-0116
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Country | US
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Telephone | 318-505-5576
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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 | 1610-643T
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18003893B
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License Number State | IN
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