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General NPI Number Information
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NPI Number | 1811968555
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Entity Type | Individual
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Provider Name | KEVIN DOUGLAS BROWN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 2828 1ST AVE 400
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City | HUNTINGTON
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State | WV
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Zip | 25702-1236
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Country | US
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Telephone | 304-525-6905
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Fax | 304-525-6154
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Provider Business Mailing Address
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Address Line | PO BOX 4100
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-4100
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Country | US
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Telephone | 304-955-6200
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Fax | 304-399-2526
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 07001001A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 00282
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 10396
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License Number State | WV
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