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General NPI Number Information
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NPI Number | 1316027873
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Entity Type | Organization
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Legal Business Name | SHARON D BROWN, PSY.D., LLC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 1250 W DOROTHY LN SUITE 104
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City | DAYTON
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State | OH
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Zip | 45409-1317
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Country | US
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Telephone | 937-294-6612
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Fax | 937-236-0661
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Provider Business Mailing Address
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Address Line | 1250 W DOROTHY LN SUITE 104
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City | DAYTON
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State | OH
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Zip | 45409-1317
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Country | US
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Telephone | 937-294-6612
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Fax | 937-236-0661
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHARON D BROWN
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Credential | PSY.D.
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Telephone | 937-236-1331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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