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General NPI Number Information
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NPI Number | 1811083306
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Entity Type | Individual
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Provider Name | CARROLL DAN BROWN JR. D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3637 BROADWAY BLVD SUITE B
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City | GARLAND
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State | TX
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Zip | 75043
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Country | US
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Telephone | 972-271-0524
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Fax | 972-278-9557
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Provider Business Mailing Address
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Address Line | 3637 BROADWAY BLVD SUITE B
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City | GARLAND
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State | TX
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Zip | 75043
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Country | US
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Telephone | 972-271-0524
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Fax | 972-278-9557
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11477
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License Number State | TX
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