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General NPI Number Information
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NPI Number | 1326930090
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Entity Type | Individual
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Provider Name | YVETTE MICHELLE BROWN
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Gender | Female
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1300 HILLTOP DR STE 200
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City | REDDING
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State | CA
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Zip | 96003-3874
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Country | US
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Telephone | 530-618-5630
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Fax |
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Provider Business Mailing Address
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Address Line | 1711 SHASTA ST
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City | ANDERSON
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State | CA
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Zip | 96007-3249
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Country | US
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Telephone | 409-499-8875
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | MPSS-HIGDOJ
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License Number State | CA
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