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General NPI Number Information
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NPI Number | 1992024640
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Entity Type | Individual
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Provider Name | ISRAEL K BROWN DO
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Gender | Male
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 2137 HERNDON AVE SUITE 102
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City | CLOVIS
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State | CA
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Zip | 93611-6306
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Country | US
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Telephone | 559-466-7100
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Fax | 559-466-7102
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Provider Business Mailing Address
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Address Line | 1070 N DEWITT AVE
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City | CLOVIS
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State | CA
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Zip | 93611-7040
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Country | US
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Telephone | 559-466-7100
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Fax | 559-466-7102
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2010003179
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20A11716
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License Number State | CA
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