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NPI 1851641153

NPI 1851641153 : MADELINE ERIN BROWN : ELKTON, MD

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General NPI Number Information
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    NPI Number           |    1851641153
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    Entity Type          |    Individual 
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    Provider Name        |    MADELINE ERIN BROWN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/13/2012
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    Last Update Date     |    09/05/2023
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Provider Practice Location Address
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    Address Line         |    201 BOOTH ST 
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    City                 |    ELKTON
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    State                |    MD
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    Zip                  |    21921-5618
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    Country              |    US
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    Telephone            |    410-996-5400
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    Fax                  |    410-996-5454
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Provider Business Mailing Address
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    Address Line         |    280 LOVE RUN ROAD 
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    City                 |    COLORA
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    State                |    MD
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    Zip                  |    21917-1008
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    Country              |    US
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    Telephone            |    443-504-2880
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    U1-0001321
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    OC012379
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    06345
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    License Number State |    MD
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