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General NPI Number Information
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NPI Number | 1619556438
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Entity Type | Individual
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Provider Name | BETTY ELAINE TAYLOR BROWN LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 105 JAZZ DR
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City | PANAMA CITY
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State | FL
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Zip | 32405-4906
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Country | US
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Telephone | 850-604-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 323 BELL CIR
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City | LYNN HAVEN
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State | FL
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Zip | 32444-4601
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Country | US
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Telephone | 334-389-0116
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH18599
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License Number State | FL
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