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General NPI Number Information
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NPI Number | 1124326871
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Entity Type | Individual
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Provider Name | ANDREW BROWN MFTI
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Gender | Male
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Dates
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Enumeration Date | 03/04/2011
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Last Update Date | 03/04/2011
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Provider Practice Location Address
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Address Line | 607 KIRBY LN
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City | SPANISH FORK
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State | UT
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Zip | 84660-1368
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Country | US
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Telephone | 801-852-3805
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Fax | 801-794-6684
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Provider Business Mailing Address
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Address Line | 750 N 200 W STE 300
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City | PROVO
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State | UT
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Zip | 84601-1690
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Country | US
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Telephone | 801-373-4760
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Fax | 801-373-0639
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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 |
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License Number State |
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