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General NPI Number Information
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NPI Number | 1962409037
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Entity Type | Individual
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Provider Name | ROBERT THEODORE BROWN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 3 COOPER PLZ SUITE 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1438
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Country | US
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Telephone | 856-342-2001
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Fax | 856-968-8206
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Provider Business Mailing Address
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Address Line | 3 COOPER PLZ SUITE 502
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City | CAMDEN
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State | NJ
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Zip | 08103-1438
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Country | US
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Telephone | 856-342-2241
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Fax | 856-968-7965
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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 | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | 35048098
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | MD013629E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | MA08710700
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License Number State | NJ
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