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General NPI Number Information
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NPI Number | 1336524495
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Entity Type | Individual
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Provider Name | ANITRA NICOLE BROWN DIPLOMA, CERTIFICATI
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Gender | Female
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 289 E HADLEY RD
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City | AMHERST
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State | MA
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Zip | 01002-3114
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Country | US
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Telephone | 413-253-3135
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Fax |
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Provider Business Mailing Address
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Address Line | 289 E HADLEY RD
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City | AMHERST
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State | MA
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Zip | 01002-3114
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Country | US
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Telephone | 413-253-3135
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 261-4781399
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License Number State | ZZ
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Taxonomy #4
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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Taxonomy #5
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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Taxonomy #6
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number |
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Taxonomy #7
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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