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General NPI Number Information
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NPI Number | 1861933962
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Entity Type | Organization
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Legal Business Name | BROWN CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 27 E MAIN ST
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City | VERSAILLES
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State | OH
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Zip | 45380-1517
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Country | US
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Telephone | 937-526-3737
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Fax | 937-526-3737
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Provider Business Mailing Address
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Address Line | PO BOX 27
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City | VERSAILLES
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State | OH
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Zip | 45380-0027
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Country | US
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Telephone | 937-526-3737
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Fax | 937-526-3737
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Authorized Official
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Title or Position | MEMBER
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Name | DR. ZACHARY BROWN
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Credential | D.C.
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Telephone | 937-526-3737
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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 | 4485
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License Number State | OH
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