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NPI 1952316457

NPI 1952316457 : BRIAN WILLIAM DOWNS MD : CLEMMONS, NC

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General NPI Number Information
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    NPI Number           |    1952316457
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    Entity Type          |    Individual 
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    Provider Name        |    BRIAN WILLIAM DOWNS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/31/2006
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    Last Update Date     |    01/31/2017
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Provider Practice Location Address
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    Address Line         |    2341 LEWISVILLE CLEMMONS RD 
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    City                 |    CLEMMONS
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    State                |    NC
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    Zip                  |    27012-8905
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    Country              |    US
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    Telephone            |    336-716-4000
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    Fax                  |    336-713-3277
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Provider Business Mailing Address
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    Address Line         |    PO BOX 602658 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28260-2658
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    Country              |    US
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    Telephone            |    336-716-2011
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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        |    207Y00000X
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    Taxonomy Name        |    Otolaryngology Physician
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    License Number       |    2003-01349
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    License Number State |    NC
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