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Individual
DR. MARY A BROWN
Active
Individual
DR. MARY A BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G51256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G512560
—
CA
01
—
106272900
DOL PROVIDER PIN
—
01
—
5472331
AETNA PIN
—
01
—
CB234375
MEDICARE ID
CA
Enumeration date
06/07/2006
Last updated
12/26/2015
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