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General NPI Number Information
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NPI Number | 1336134949
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Entity Type | Individual
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Provider Name | KAROL SOLOMON BRIGHAM PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 1003 N ADAMS ST
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City | TALLAHASSEE
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State | FL
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Zip | 32303-6132
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Country | US
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Telephone | 850-224-4442
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Fax | 850-574-6030
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Provider Business Mailing Address
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Address Line | 1615 VILLAGE SQUARE BLVD STE 4
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City | TALLAHASSEE
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State | FL
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Zip | 32309-2770
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Country | US
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Telephone | 850-224-4442
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Fax | 850-574-6030
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY3059
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License Number State | FL
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