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General NPI Number Information
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NPI Number | 1992113922
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Entity Type | Individual
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Provider Name | KENNETH BROWN R.P.H.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 2535 31ST AVE
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City | ASTORIA
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State | NY
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Zip | 11106-3607
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Country | US
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Telephone | 718-545-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 325 EMPIRE BLVD APT 3
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City | BROOKLYN
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State | NY
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Zip | 11225-3538
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Country | US
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Telephone | 646-474-4106
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Fax |
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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 | 029443
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License Number State | NY
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