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General NPI Number Information
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NPI Number | 1942249214
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Entity Type | Individual
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Provider Name | PETER BROWN MD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 15 COLUMBIA RD
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City | PEMBROKE
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State | MA
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Zip | 02359-1841
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Country | US
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Telephone | 781-585-9522
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Fax | 781-585-9544
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Provider Business Mailing Address
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Address Line | PO BOX 196
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City | ACCORD
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State | MA
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Zip | 02018-0196
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Country | US
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Telephone | 781-585-9522
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Fax | 781-585-9544
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 72972
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License Number State | MA
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