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General NPI Number Information
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NPI Number | 1518775485
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Entity Type | Individual
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Provider Name | MADISON ANNE BROWN
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Gender | Female
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Dates
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Enumeration Date | 12/24/2024
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Last Update Date | 01/01/2025
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Provider Practice Location Address
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Address Line | 678 E TAGGART ST
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City | EAST PALESTINE
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State | OH
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Zip | 44413-2400
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Country | US
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Telephone | 330-932-2095
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Fax |
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Provider Business Mailing Address
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Address Line | 207 S MARKET ST
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City | NEW WILMINGTON
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State | PA
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Zip | 16142-1242
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Country | US
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Telephone | 330-692-0044
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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