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General NPI Number Information
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NPI Number | 1154266609
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Entity Type | Individual
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Provider Name | FREDDY BROWN JR.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 1720 N HAMILTON ST
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City | SPOKANE
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State | WA
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Zip | 99207-2474
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Country | US
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Telephone | 866-240-0808
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Fax | 866-240-0809
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Provider Business Mailing Address
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Address Line | 16265 N LAKESIDE LN
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City | NINE MILE FALLS
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State | WA
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Zip | 99026-9455
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Country | US
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Telephone | 866-240-0808
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Fax | 866-240-0809
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | WA
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