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General NPI Number Information
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NPI Number | 1144724709
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Entity Type | Individual
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Provider Name | MONTANA BROWN
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 11 RIVER ST
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City | WELLESLEY
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State | MA
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Zip | 02481-2017
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Country | US
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Telephone | 772-277-8882
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Fax |
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Provider Business Mailing Address
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Address Line | 37 WESTON ST APT 1
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City | WALTHAM
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State | MA
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Zip | 02453-7745
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Country | US
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Telephone | 508-838-4139
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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