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General NPI Number Information
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NPI Number | 1538566799
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Entity Type | Organization
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Legal Business Name | ERIKA L. BROWN, LCSW, LLC
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Dates
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Enumeration Date | 12/03/2014
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Last Update Date | 12/18/2015
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Provider Practice Location Address
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Address Line | 4581 LIFESTYLE LN
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-4807
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Country | US
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Telephone | 804-229-4292
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Fax | 804-234-8011
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Provider Business Mailing Address
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Address Line | 4506 INCHCAPE CT
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City | MOSELEY
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State | VA
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Zip | 23120-1297
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Country | US
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Telephone | 804-229-4292
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Fax | 804-234-8011
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Authorized Official
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Title or Position | OWNER
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Name | ERIKA L BROWN
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Credential | LCSW
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Telephone | 804-229-4292
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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 | 0904008198
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License Number State | VA
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