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General NPI Number Information
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NPI Number | 1336381235
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Entity Type | Individual
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Provider Name | MIRANDA DENISE BROWN-MEADERS LPA
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Gender | Female
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 13735 STEELE CREEK RD STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28273-6841
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Country | US
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Telephone | 803-325-5491
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Fax | 800-487-7401
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Provider Business Mailing Address
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Address Line | 2328 OZARK CT
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City | ROCK HILL
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State | SC
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Zip | 29732-9809
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Country | US
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Telephone | 803-325-5491
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4017
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License Number State | NC
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