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General NPI Number Information
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NPI Number | 1821713371
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Entity Type | Individual
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Provider Name | MARQUS DEVONTE BROWN D.C
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Gender | Male
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Dates
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Enumeration Date | 10/06/2022
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 3950 S US HIGHWAY 17/92 STE 1000
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City | CASSELBERRY
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State | FL
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Zip | 32707-3289
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Country | US
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Telephone | 407-767-4878
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 N SWALLOW TAIL DR APT 1803
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City | PORT ORANGE
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State | FL
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Zip | 32129-4158
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Country | US
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Telephone | 662-907-8095
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 14233
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License Number State | FL
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