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General NPI Number Information
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NPI Number | 1518128099
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Entity Type | Individual
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Provider Name | MS. PAMELA MARIE BROWN
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Gender | Female
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 1569 GREGORY AVE
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City | LINCOLN PARK
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State | MI
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Zip | 48146-3509
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Country | US
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Telephone | 313-207-9651
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Fax | 313-905-4835
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Provider Business Mailing Address
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Address Line | 922 BUCKINGHAM AVE
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City | LINCOLN PARK
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State | MI
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Zip | 48146-3639
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Country | US
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Telephone | 313-207-9651
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Fax | 313-905-4835
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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 | 6801120172
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6803088663
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3501003017
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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