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General NPI Number Information
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NPI Number | 1083121008
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Entity Type | Individual
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Provider Name | DAKOTA BROWN MA
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Gender | Male
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Dates
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Enumeration Date | 12/29/2017
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 470 E 3RD ST # A&B
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City | LOS ANGELES
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State | CA
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Zip | 90013-1629
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Country | US
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Telephone | 213-626-6411
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Fax |
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Provider Business Mailing Address
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Address Line | 18521 MAYALL ST UNIT I
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City | NORTHRIDGE
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State | CA
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Zip | 91324-1436
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 129663
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License Number State | CA
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