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General NPI Number Information
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NPI Number | 1760854566
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Entity Type | Individual
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Provider Name | SHEILA OERTWICH BROWN LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 4281 KATELLA AVE SUITE 122
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3500
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Country | US
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Telephone | 714-229-0094
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Fax |
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Provider Business Mailing Address
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Address Line | 105 FALLINGSTAR
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City | IRVINE
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State | CA
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Zip | 92614-7509
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Country | US
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Telephone | 714-457-8107
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 86526
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 86526
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 86526
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 86526
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 86526
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License Number State | CA
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