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General NPI Number Information
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NPI Number | 1558645218
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Entity Type | Individual
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Provider Name | RYAN JAMES BROWN MA
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Gender | Male
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 1185 US HIGHWAY 23 N
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City | ALPENA
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State | MI
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Zip | 49707-8004
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Country | US
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Telephone | 989-356-4049
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Fax |
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Provider Business Mailing Address
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Address Line | 154 S RIPLEY BLVD
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City | ALPENA
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State | MI
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Zip | 49707-3406
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Country | US
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Telephone | 989-356-6385
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Fax | 989-356-4909
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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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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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