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General NPI Number Information
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NPI Number | 1518326396
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Entity Type | Individual
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Provider Name | REGINA W. BROWN LCPC, CRC
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Gender | Female
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 6665 SECURITY BLVD
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City | BALTIMORE
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State | MD
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Zip | 21207-4018
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Country | US
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Telephone | 410-265-7291
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Fax | 410-265-7294
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Provider Business Mailing Address
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Address Line | 6665 SECURITY BLVD
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City | BALTIMORE
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State | MD
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Zip | 21207-4018
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Country | US
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Telephone | 410-265-7291
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Fax | 410-265-7294
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 00115373
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC6875
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License Number State | MD
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