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General NPI Number Information
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NPI Number | 1891908661
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Entity Type | Individual
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Provider Name | DR. RONALD STEPHEN BROWN
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 4400 JENIFER ST NW STE 270
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City | WASHINGTON
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State | DC
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Zip | 20015-2113
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Country | US
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Telephone | 202-964-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 2206 N NELSON ST
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City | ARLINGTON
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State | VA
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Zip | 22207-3841
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Country | US
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Telephone | 703-528-2816
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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 | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 2923
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 4170
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 5621
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License Number State | MD
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