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NPI 1972543932

NPI 1972543932 : EMILY M BROWN OD : HINESVILLE, GA

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General NPI Number Information
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    NPI Number           |    1972543932
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY M BROWN OD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/07/2006
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    Last Update Date     |    09/24/2015
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Provider Practice Location Address
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    Address Line         |    127 E GENERAL SCREVEN WAY 
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    City                 |    HINESVILLE
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    State                |    GA
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    Zip                  |    31313-3013
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    Country              |    US
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    Telephone            |    912-877-2422
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    Fax                  |    912-877-2430
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Provider Business Mailing Address
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    Address Line         |    127 E GENERAL SCREVEN WAY 
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    City                 |    HINESVILLE
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    State                |    GA
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    Zip                  |    31313-3013
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    Country              |    US
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    Telephone            |    912-877-2422
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    Fax                  |    912-877-2430
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OPT002844
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    License Number State |    GA
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