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General NPI Number Information
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NPI Number | 1922448489
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Entity Type | Organization
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Legal Business Name | GRACE ELIZABETH BROWN, MD PA
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 4471 LONG PRAIRIE ROAD SUITE 100
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City | FLOWER MOUND
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State | TX
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Zip | 75028
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Country | US
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Telephone | 972-316-4555
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Fax | 972-316-4550
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Provider Business Mailing Address
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Address Line | 4471 LONG PRAIRIE ROAD SUITE 100
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City | FLOWER MOUND
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State | TX
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Zip | 75028
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Country | US
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Telephone | 972-316-4555
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Fax | 972-316-4550
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GRACE ELIZABETH BROWN
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Credential | M.D.
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Telephone | 214-615-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PS040
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License Number State | TX
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