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General NPI Number Information
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NPI Number | 1871536128
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Entity Type | Organization
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Legal Business Name | MICHELLE R BROWN M.D. P.A.
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 1515 S CLIFTON AVE SUITE 320
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City | WICHITA
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State | KS
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Zip | 67218-2900
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Country | US
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Telephone | 316-263-5889
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 782948
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City | WICHITA
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State | KS
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Zip | 67278-2948
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Country | US
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Telephone | 316-263-5889
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | GEORGIA DENNE
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Credential |
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Telephone | 316-269-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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