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General NPI Number Information
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NPI Number | 1932724580
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Entity Type | Individual
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Provider Name | BENJAMIN BROWNE
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Gender | Male
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 2601 HOLME AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2007
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Country | US
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Telephone | 215-330-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 11003 MAIDEN DR
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City | BOWIE
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State | MD
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Zip | 20720-3569
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Country | US
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Telephone | 412-951-7550
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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