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General NPI Number Information
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NPI Number | 1447476742
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Entity Type | Organization
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Legal Business Name | BROWN CONSULTING SERVICES, INC.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 4922 S CORNELL AVE UNIT Z
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City | CHICAGO
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State | IL
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Zip | 60615-3014
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Country | US
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Telephone | 773-955-5590
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Fax |
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Provider Business Mailing Address
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Address Line | 4922 S CORNELL AVE UNIT Z
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City | CHICAGO
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State | IL
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Zip | 60615-3014
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Country | US
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Telephone | 773-955-5590
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROSA M. BROWN VI
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Credential | PH.D..
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Telephone | 773-955-5590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 71001146
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License Number State | IL
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