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General NPI Number Information
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NPI Number | 1962129114
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Entity Type | Organization
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Legal Business Name | BROWNS FAMILY MEDICAL CLINIC
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 402 HIGHWAY 2
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City | WARNER
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State | OK
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Zip | 74469-2302
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Country | US
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Telephone | 918-463-2095
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Fax | 918-675-5050
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Provider Business Mailing Address
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Address Line | PO BOX 679
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City | WARNER
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State | OK
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Zip | 74469-0679
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Country | US
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Telephone | 918-463-2095
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Fax | 918-463-2097
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | STEPHANIE BROWN
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Credential | RN
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Telephone | 918-463-2095
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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 |
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License Number State |
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