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Individual
DR. THAD L BROWN
Active
Individual
DR. THAD L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2104
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101712608
—
AZ
01
—
58481
BLUE CROSS BLUE SHIELD
AR
01
—
842237
UNITED CONCORDIA ID NUMBE
AR
Enumeration date
02/17/2006
Last updated
07/09/2007
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