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General NPI Number Information
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NPI Number | 1811034457
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Entity Type | Individual
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Provider Name | DENNIS GREGORY BROWN M.D., J.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 2901 W KINNICKINNIC RIVER PKWY SUITE 317
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City | MILWAUKEE
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State | WI
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Zip | 53215-3677
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Country | US
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Telephone | 414-671-1596
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Fax | 414-671-0536
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Provider Business Mailing Address
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Address Line | 2901 W KINNICKINNIC RIVER PKWY STE 303
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City | MILWAUKEE
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State | WI
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Zip | 53215-3660
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Country | US
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Telephone | 414-671-1596
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Fax | 414-671-0536
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 22977
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License Number State | WI
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