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General NPI Number Information
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NPI Number | 1609155308
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Entity Type | Organization
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Legal Business Name | KAREN H BRODY, MD, LLC
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Dates
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Enumeration Date | 08/11/2011
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Last Update Date | 08/11/2011
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Provider Practice Location Address
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Address Line | 22 5TH ST
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City | STAMFORD
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State | CT
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Zip | 06905-5030
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Country | US
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Telephone | 203-359-6777
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Fax | 203-359-6355
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Provider Business Mailing Address
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Address Line | 22 5TH ST
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City | STAMFORD
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State | CT
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Zip | 06905-5030
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Country | US
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Telephone | 203-359-6777
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Fax | 203-359-6355
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAREN HOWARD BRODY
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Credential | MD
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Telephone | 203-359-6777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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