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General NPI Number Information
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NPI Number | 1225346273
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Entity Type | Individual
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Provider Name | CRYSTAL MARIE BROWN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 525 W AVENUE P4
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City | PALMDALE
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State | CA
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Zip | 93551-3743
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Country | US
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Telephone | 213-219-0663
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Fax |
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Provider Business Mailing Address
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Address Line | 1766 W AVENUE J12 APT 107
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City | LANCASTER
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State | CA
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Zip | 93534-4656
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Country | US
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Telephone | 706-631-1445
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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