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General NPI Number Information
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NPI Number | 1083468292
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Entity Type | Organization
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Legal Business Name | DR NICOLE M BROWN PLLC
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 1703 LANGHORNE NEWTOWN RD STE 6
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City | LANGHORNE
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State | PA
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Zip | 19047-1082
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Country | US
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Telephone | 267-574-6176
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Fax |
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Provider Business Mailing Address
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Address Line | 7 GARRISON CT
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City | HOLLAND
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State | PA
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Zip | 18966-2637
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Country | US
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Telephone | 267-574-6176
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICOLE MARIE BROWN
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Credential | PSY.D.
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Telephone | 267-574-6176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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