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General NPI Number Information
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NPI Number | 1891794277
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Entity Type | Individual
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Provider Name | DONALD WAYNE BROWN D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 25 MEDPARK DRIVE SUITE 3
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City | SOMERSET
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State | KY
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Zip | 42501
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Country | US
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Telephone | 270-796-3330
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Fax | 270-796-3338
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Provider Business Mailing Address
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Address Line | 25 MEDPARK DRIVE STE 3
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City | SOMERSET
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State | KY
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Zip | 42501
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Country | US
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Telephone | 606-531-4100
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Fax | 606-220-2116
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 02750
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License Number State | KY
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