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1912049644 NPI number — TATIANA VOLKOVA BROWN MD

NPI Number: 1912049644
Health Care Provider/Practitioner: TATIANA VOLKOVA BROWN MD

Information about “1912049644” NPI (TATIANA VOLKOVA BROWN MD) exists in 1912049644 in HTML format HTML  |  1912049644 in plain Text format TXT  |  1912049644 in PDF (Portable Document Format) PDF  |  1912049644 in an XML format XML  formats.

NPI Number : 1912049644 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912049644",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROWN",
    "FirstName": "TATIANA",
    "MiddleName": "VOLKOVA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHESSER",
    "OtherFirstName": "TATIANA",
    "OtherMiddleName": "VOLKOVA",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8272 RIDING CLUB RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32256",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-909-6929",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "655 8TH STREET W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32209",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-244-0411",
    "PracticeLocationAddressFaxNumber": "904-633-0641",
    "EnumerationDate": "02/12/2007",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "73222",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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