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General NPI Number Information
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NPI Number | 1427243765
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Entity Type | Individual
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Provider Name | SHEKITA RENEE BROWN MSW, LCSW, LISW-CP
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Gender | Female
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 8420 MEDICAL PLAZA DR STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28262-9759
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Country | US
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Telephone | 980-237-5184
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Fax | 888-467-5758
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Provider Business Mailing Address
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Address Line | 9342 ATLAS CEDAR DR
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City | CHARLOTTE
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State | NC
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Zip | 28215-7134
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Country | US
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Telephone | 704-607-0789
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Fax | 888-467-5758
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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 | CSW006729
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License Number State | GA
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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 | 9847
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License Number State | SC
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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 | C007420
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License Number State | NC
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