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General NPI Number Information
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NPI Number | 1972887859
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Entity Type | Individual
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Provider Name | TIMOTHY BRAD BROWN PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 360 S ALABAMA AVE
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City | MONROEVILLE
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State | AL
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Zip | 36460-1806
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Country | US
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Telephone | 251-743-2575
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Fax | 251-575-3887
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Provider Business Mailing Address
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Address Line | PO BOX 208
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City | MONROEVILLE
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State | AL
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Zip | 36461-0208
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Country | US
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Telephone | 251-743-2575
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Fax | 251-575-3887
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15521
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License Number State | AL
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