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General NPI Number Information
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NPI Number | 1346472842
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Entity Type | Individual
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Provider Name | JEANNETTE HARRIS BROWN MSW,P-LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 08/17/2009
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Provider Practice Location Address
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Address Line | 2901 N HERRITAGE ST SUITE C
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City | KINSTON
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State | NC
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Zip | 28501-1581
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Country | US
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Telephone | 252-514-3683
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Fax |
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Provider Business Mailing Address
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Address Line | 2703 FAIRFAX RD
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City | KINSTON
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State | NC
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Zip | 28504-1154
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Country | US
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Telephone | 252-514-3683
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | POO4932
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License Number State | NC
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