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General NPI Number Information
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NPI Number | 1346436284
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Entity Type | Individual
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Provider Name | BERNADETTE M BROWN M.S., P.C., N.C.C.
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Gender | Female
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 06/28/2008
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Provider Practice Location Address
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Address Line | 1374 N. FAIRFIELD RD.
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City | BEAVERCREEK
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State | OH
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Zip | 45432-2644
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Country | US
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Telephone | 937-427-9151
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 SMUGGLERS WAY
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City | CENTERVILLE
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State | OH
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Zip | 45459-5856
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Country | US
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Telephone | 937-609-3924
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Fax | 937-433-0593
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C0600573
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License Number State | OH
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