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General NPI Number Information
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NPI Number | 1598355216
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Entity Type | Individual
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Provider Name | SIMONE BROWN
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Gender | Female
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 1013 HILLWELL RD
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City | CHESAPEAKE
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State | VA
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Zip | 23322-3604
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Country | US
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Telephone | 757-290-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 5672 INFINITY LN UNIT 416
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-8286
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Country | US
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Telephone | 757-807-8173
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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