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General NPI Number Information
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NPI Number | 1932290343
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Entity Type | Individual
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Provider Name | MARIA BROWN DO
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 1225 E COOLSPRING AVE STE 2D
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City | MICHIGAN CITY
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State | IN
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Zip | 46360
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Country | US
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Telephone | 219-878-5037
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Fax | 219-861-8142
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Provider Business Mailing Address
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Address Line | PO BOX 781076
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City | DETROIT
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State | MI
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Zip | 48278-1076
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Country | US
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Telephone | 317-528-4800
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02005545A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-069059
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License Number State | IL
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