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General NPI Number Information
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NPI Number | 1053621888
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Entity Type | Organization
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Legal Business Name | PAMELA S. BROWN, MSW, LCSW, INC
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 4500 SIMSBURY RD B
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City | CHARLOTTE
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State | NC
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Zip | 28226-8226
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Country | US
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Telephone | 980-875-9380
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Fax |
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Provider Business Mailing Address
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Address Line | 7804 FAIRVIEW RD. C
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City | CHARLOTTE
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State | NC
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Zip | 28226-8226
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Country | US
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Telephone | 980-875-9380
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAMELA S. BROWN
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Credential | LCSW
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Telephone | 980-875-9380
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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 | COO2433
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License Number State | NC
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