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General NPI Number Information
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NPI Number | 1912195942
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Entity Type | Individual
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Provider Name | TIARA BROWN DMD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 926 S 348TH ST
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City | FEDERAL WAY
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State | WA
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Zip | 98003-7021
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Country | US
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Telephone | 253-924-0717
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Fax | 253-925-1439
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Provider Business Mailing Address
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Address Line | 926 S 348TH ST
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City | FEDERAL WAY
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State | WA
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Zip | 98003-7021
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Country | US
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Telephone | 253-924-0717
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Fax | 253-925-1439
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 4336
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DENT.DE.60543431
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License Number State | WA
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