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General NPI Number Information
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NPI Number | 1871885681
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Entity Type | Organization
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Legal Business Name | JENNIFER BROWN MD PC
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 306 MARTIN LUTHER KING JR BLVD FLOOR 4
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City | NEWARK
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State | NJ
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Zip | 07102-2011
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Country | US
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Telephone | 973-877-2580
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Fax | 973-877-2578
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Provider Business Mailing Address
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Address Line | 306 MARTIN LUTHER KING JR BLVD FLOOR 4
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City | NEWARK
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State | NJ
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Zip | 07102-2011
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Country | US
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Telephone | 973-877-2580
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Fax | 973-877-2578
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JENNIFER BROWN
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Credential | D.O.
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Telephone | 973-877-2580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MB055986
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License Number State | NJ
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