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General NPI Number Information
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NPI Number | 1871931733
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Entity Type | Individual
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Provider Name | EMILY JOY JENSEN BROWN PA
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Gender | Female
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE RD NW BUILDING 77, 6TH FLOOR
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-605-2905
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Fax | 678-244-6608
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Provider Business Mailing Address
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Address Line | 1968 PEACHTREE RD NW BUILDING 77, 6TH FLOOR
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-605-2905
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Fax | 678-244-6608
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 005693
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 6864
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License Number State | GA
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