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Individual
JAIME BROWN
Active
Individual
JAIME BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40756
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407562
—
SC
01
—
SCB0303365
MEDICARE PIN
SC
01
—
SCB0305019
MEDICARE PIN
SC
Enumeration date
04/21/2014
Last updated
12/03/2020
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