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NPI 1861629560

NPI 1861629560 : DR. ANDREW TERENCE BROWN : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1861629560
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    Entity Type          |    Individual 
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    Provider Name        |    DR. ANDREW TERENCE BROWN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/19/2009
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    Last Update Date     |    07/25/2013
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Provider Practice Location Address
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    Address Line         |    6345 E BELL RD STE 2 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-6451
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    Country              |    US
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    Telephone            |    480-474-4990
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2870 E MERRILL 
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85234
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    Country              |    US
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    Telephone            |    918-497-9668
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    6098
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    License Number State |    OK
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