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NPI 1598629115

NPI 1598629115 : PATRICK JAMES BROWN : WARREN, OH

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General NPI Number Information
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    NPI Number           |    1598629115
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICK JAMES BROWN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/10/2025
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    Last Update Date     |    12/10/2025
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Provider Practice Location Address
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    Address Line         |    1212 TOD PL NW 
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    City                 |    WARREN
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    State                |    OH
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    Zip                  |    44485-2475
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    Country              |    US
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    Telephone            |    330-469-6822
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    Fax                  |    330-294-5641
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Provider Business Mailing Address
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    Address Line         |    1212 TOD PL NW 
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    City                 |    WARREN
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    State                |    OH
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    Zip                  |    44485-2475
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    Country              |    US
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    Telephone            |    330-469-6822
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    Fax                  |    330-294-5641
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    CDCA.194382
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    License Number State |    OH
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