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General NPI Number Information
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NPI Number | 1144217290
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Entity Type | Individual
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Provider Name | JAMES J BROWN LCSW LPC
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 703 S MAIN ST
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City | JACKSONVILLE
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State | TX
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Zip | 75766-2428
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Country | US
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Telephone | 903-586-6736
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Fax | 903-586-2412
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Provider Business Mailing Address
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Address Line | 703 S MAIN ST
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City | JACKSONVILLE
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State | TX
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Zip | 75766-2428
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Country | US
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Telephone | 903-586-6736
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Fax | 903-586-2412
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCSW00357
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License Number State | TX
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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 | LPC004887
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License Number State | TX
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