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General NPI Number Information
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NPI Number | 1750762613
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Entity Type | Individual
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Provider Name | JANA MARIE BROWN LSCSW
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Gender | Female
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 1511 E FULTON TER STE 4
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City | GARDEN CITY
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State | KS
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Zip | 67846-6152
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Country | US
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Telephone | 620-805-3129
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Fax |
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Provider Business Mailing Address
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Address Line | 1511 E FULTON TER STE 4
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City | GARDEN CITY
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State | KS
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Zip | 67846-6152
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Country | US
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Telephone | 620-805-3129
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSW.0009922110
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 09925826
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 05777
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License Number State | KS
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