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General NPI Number Information
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NPI Number | 1962565895
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Entity Type | Organization
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Legal Business Name | BROWNS PROFESSIONAL SERV INC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 10/22/2021
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Provider Practice Location Address
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Address Line | 2136 ROBINSON RD SUITE 2
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City | JACKSON
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State | MI
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Zip | 49203-3557
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Country | US
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Telephone | 517-750-2180
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Fax | 517-750-2181
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Provider Business Mailing Address
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Address Line | 1410 W GANSON ST
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City | JACKSON
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State | MI
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Zip | 49202-4063
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Country | US
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Telephone | 517-789-8980
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Fax | 517-750-2181
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Authorized Official
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Title or Position | CEO
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Name | GRANT HAROLD BROWN
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Credential | PHARM.D.
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Telephone | 517-789-8980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 23925
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License Number State | MI
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