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General NPI Number Information
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NPI Number | 1861383200
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Entity Type | Individual
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Provider Name | JARED DANIEL BROWN DMD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1800 FORT HARRISON RD
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City | TERRE HAUTE
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State | IN
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Zip | 47804-1413
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Country | US
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Telephone | 812-233-3751
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Fax |
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Provider Business Mailing Address
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Address Line | 231 VIRGINIA AVE APT 2338
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-3793
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Country | US
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Telephone | 302-373-4426
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12014840A
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License Number State | IN
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