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General NPI Number Information
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NPI Number | 1790848687
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Entity Type | Individual
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Provider Name | DALE BROWN JR. O.D.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | 318 TUSCULUM BLVD STE 2
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City | GREENEVILLE
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State | TN
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Zip | 37745-3926
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Country | US
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Telephone | 423-639-4171
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Fax | 423-639-5442
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Provider Business Mailing Address
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Address Line | 318 TUSCULUM BLVD STE 2
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City | GREENEVILLE
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State | TN
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Zip | 37745-3926
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Country | US
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Telephone | 423-639-4171
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Fax | 423-639-5442
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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 | OD0000000510
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License Number State | TN
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