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General NPI Number Information
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NPI Number | 1013054105
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Entity Type | Individual
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Provider Name | SUE ANN BINGHAM BROWN MSW, LCSW, PIP
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 276 OLD MOCKSVILLE RD STE 100
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City | STATESVILLE
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State | NC
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Zip | 28625-1951
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Country | US
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Telephone | 704-317-2931
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4962
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City | MOORESVILLE
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State | NC
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Zip | 28117-4962
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Country | US
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Telephone | 704-360-3637
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0598-1586C
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C009929
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License Number State | NC
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