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General NPI Number Information
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NPI Number | 1811193444
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Entity Type | Individual
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Provider Name | DREW JACQUES BROWN IV M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 2236 GREEN HEDGES WAY
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-8189
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Country | US
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Telephone | 813-358-3578
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Fax |
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Provider Business Mailing Address
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Address Line | 107 N 11TH ST # 508
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City | TAMPA
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State | FL
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Zip | 33602-4242
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Country | US
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Telephone | 813-358-3578
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Fax |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 322038
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MDR-5314
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME121959
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License Number State | FL
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