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General NPI Number Information
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NPI Number | 1407354871
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Entity Type | Individual
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Provider Name | BIANCA BROWN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 4150 CLEMENT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-1563
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Country | US
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Telephone | 252-772-5295
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Fax |
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Provider Business Mailing Address
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Address Line | 4150 CLEMENT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-1563
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Country | US
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Telephone | 916-502-6884
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50081390
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 88005
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 21126
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License Number State | MD
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