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General NPI Number Information
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NPI Number | 1902851447
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Entity Type | Individual
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Provider Name | CAROLYN E BROWN PT
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 121 HOSPITAL DR
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City | SALEM
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State | KY
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Zip | 42078-8043
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Country | US
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Telephone | 270-988-7213
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Fax | 270-988-2199
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Provider Business Mailing Address
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Address Line | 139 HIGHLAND DR
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City | MADISONVILLE
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State | KY
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Zip | 42431-9154
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Country | US
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Telephone | 270-825-2158
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Fax | 270-825-1277
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT000361
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License Number State | KY
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