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Individual
DR. ANGELIQUE D BROWN
Active
Individual
DR. ANGELIQUE D BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045570A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01045570A
PHYSICIAN'S LICENSE #
IN
01
—
01045570B
CONTROLLED SUBSTANCE #
IN
01
—
15D0938335
CLIA #
IN
05
—
200098750B
—
IN
01
—
207Q0000X
TAXONOMY CODE
IN
Enumeration date
01/26/2006
Last updated
03/07/2023
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