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General NPI Number Information
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NPI Number | 1639714488
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Entity Type | Individual
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Provider Name | DAISY ANNETTE JONES-BROWN LPC-S
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Gender | Female
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Dates
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Enumeration Date | 11/14/2019
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Last Update Date | 11/14/2019
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Provider Practice Location Address
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Address Line | 3504 BLUECUTT RD
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City | COLUMBUS
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State | MS
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Zip | 39705-1325
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Country | US
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Telephone | 701-213-6792
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Fax |
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Provider Business Mailing Address
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Address Line | 255 MOCKINGBIRD LN
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City | CALEDONIA
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State | MS
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Zip | 39740-9251
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Country | US
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Telephone | 701-213-6792
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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 | 0994
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License Number State | MS
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