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General NPI Number Information
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NPI Number | 1871568931
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Entity Type | Individual
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Provider Name | MICHAEL LOUIS BROWN MD
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Gender | Male
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HEALTH SERVICES NORTHERN ILLINOIS UNIVERSITY
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City | DEKALB
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State | IL
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Zip | 60115
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Country | US
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Telephone | 815-753-9598
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 JOHNSON CT
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City | BELVIDERE
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State | IL
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Zip | 61008-6500
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Country | US
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Telephone | 815-544-4880
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | IL
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