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General NPI Number Information
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NPI Number | 1780728089
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Entity Type | Individual
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Provider Name | PHILLIP PENDLETON BROWN I M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 518 PARK CENTER AVE
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City | NASHVILLE
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State | TN
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Zip | 37205-3430
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Country | US
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Telephone | 615-383-2760
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Fax | 615-383-7612
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Provider Business Mailing Address
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Address Line | 518 PARK CENTER AVE
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City | NASHVILLE
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State | TN
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Zip | 37205-3430
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Country | US
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Telephone | 615-383-2760
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Fax | 615-383-7612
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 9803
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License Number State | TN
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