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General NPI Number Information
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NPI Number | 1891807814
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Entity Type | Individual
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Provider Name | CAROLYN VIRDEN BROWN MD MPH
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 2231 JORDAN AVE
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City | JUNEAU
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State | AK
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Zip | 99801-8050
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Country | US
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Telephone | 907-789-1812
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Fax | 907-789-7168
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Provider Business Mailing Address
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Address Line | 2231 JORDAN AVE
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City | JUNEAU
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State | AK
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Zip | 99801-8050
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Country | US
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Telephone | 907-789-1812
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Fax | 907-789-7168
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 907
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License Number State | AK
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