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General NPI Number Information
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NPI Number | 1427873017
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Entity Type | Individual
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Provider Name | ASIA MAE BROWN PHD
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 5015 OLEANDER DR
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City | WILMINGTON
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State | NC
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Zip | 28403-7016
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Country | US
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Telephone | 910-777-7858
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Fax |
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Provider Business Mailing Address
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Address Line | 402 AVENSHIRE CT
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City | WINNABOW
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State | NC
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Zip | 28479-5176
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Country | US
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Telephone | 336-339-4772
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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