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General NPI Number Information
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NPI Number | 1013400738
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Entity Type | Individual
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Provider Name | LEE BROWN BSEMS, NRP, PSP
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Gender | Male
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 1123 S UNIVERSITY AVE STE 255B
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City | LITTLE ROCK
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State | AR
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Zip | 72204-1650
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Country | US
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Telephone | 501-404-2460
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Fax | 501-404-9644
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Provider Business Mailing Address
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Address Line | 1111 MAIN ST # 2084
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City | CONWAY
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State | AR
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Zip | 72032-5455
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Country | US
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Telephone | 501-404-2460
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Fax | 501-404-9644
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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Taxonomy #5
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 24493
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License Number State | AR
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Taxonomy #8
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number | 24493
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License Number State | AR
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Taxonomy #12
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 24493
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License Number State | AR
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