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General NPI Number Information
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NPI Number | 1194289215
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Entity Type | Individual
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Provider Name | SARAH RICHARDS BROWN LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 2040 OCEAN AVE
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City | RONKONKOMA
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State | NY
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Zip | 11779-6536
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Country | US
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Telephone | 631-471-7242
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Fax | 631-676-6934
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Provider Business Mailing Address
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Address Line | 6 LAURIE PL
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City | WEST SAYVILLE
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State | NY
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Zip | 11796-1510
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Country | US
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Telephone | 631-678-5448
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 099651
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License Number State | NY
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