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General NPI Number Information
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NPI Number | 1306204771
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Entity Type | Organization
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Legal Business Name | KEIRON BROWN PSYD P.A.
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 1801 NE 123RD ST SUITE 314
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2817
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Country | US
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Telephone | 718-268-6600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 750834
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City | FOREST HILLS
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State | NY
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Zip | 11375-0834
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Country | US
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Telephone | 718-268-6600
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Fax |
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Authorized Official
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Title or Position | PSYD
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Name | KEIRON BROWN
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Credential | PSYD
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Telephone | 718-268-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | PY5534
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License Number State | FL
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