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General NPI Number Information
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NPI Number | 1528396256
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Entity Type | Individual
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Provider Name | KIMBERLY L BROWNRIDGE MA, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 11/18/2009
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Provider Practice Location Address
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Address Line | 8361 ORCHARD AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63132-2819
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Country | US
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Telephone | 314-496-4369
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Fax | 916-560-6623
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Provider Business Mailing Address
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Address Line | 8361 ORCHARD AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63132-2819
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Country | US
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Telephone | 314-496-4369
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Fax | 916-560-6623
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2008009368
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License Number State | MO
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