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General NPI Number Information
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NPI Number | 1962606962
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Entity Type | Organization
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Legal Business Name | CRAIG A BROWN MD INC
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 1507 CREST RD
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City | DEL MAR
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State | CA
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Zip | 92014
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Country | US
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Telephone | 619-790-9754
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Fax | 951-658-5857
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Provider Business Mailing Address
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Address Line | 1507 CREST RD
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City | DEL MAR
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State | CA
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Zip | 92014
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Country | US
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Telephone | 619-790-9754
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Fax | 951-658-5857
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Authorized Official
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Title or Position | CEO
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Name | MR. CRAIG ALAN BROWN
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Credential | MD
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Telephone | 619-790-9754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | G28188
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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