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General NPI Number Information
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NPI Number | 1770892994
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Entity Type | Organization
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Legal Business Name | DANIEL J BROWN MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 1317 YNEZ PL SUITE A
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City | CORONADO
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State | CA
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Zip | 92118-3912
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Country | US
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Telephone | 619-461-1500
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Fax | 619-374-1498
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Provider Business Mailing Address
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Address Line | 5310 WILSHIRE DR
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City | SAN DIEGO
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State | CA
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Zip | 92116-1958
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Country | US
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Telephone | 619-206-9791
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Fax | 619-374-1498
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DANIEL J BROWN
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Credential | MD
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Telephone | 619-206-9791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A103653
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License Number State | CA
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