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General NPI Number Information
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NPI Number | 1780976886
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Entity Type | Individual
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Provider Name | DR. BOYD MITCHELL BROWN
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Gender | Male
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Dates
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Enumeration Date | 05/07/2011
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Last Update Date | 05/07/2011
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Provider Practice Location Address
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Address Line | 4416 RIDGEFIELD WAY
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City | NASHVILLE
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State | TN
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Zip | 37205-2384
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Country | US
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Telephone | 615-298-2180
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Fax | 615-383-8078
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Provider Business Mailing Address
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Address Line | 4416 RIDGEFIELD WAY
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City | NASHVILLE
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State | TN
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Zip | 37205-2384
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Country | US
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Telephone | 615-298-2180
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Fax | 615-383-8078
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | C3558
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License Number State | TN
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