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General NPI Number Information
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NPI Number | 1770334963
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Entity Type | Individual
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Provider Name | TYREE BROWNING MFT-LP
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Gender | Male
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 1990 LEXINGTON AVE APT 26E
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City | NEW YORK
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State | NY
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Zip | 10035-2918
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Country | US
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Telephone | 917-740-9574
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Fax |
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Provider Business Mailing Address
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Address Line | 165 VROOM ST APT 5A
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City | JERSEY CITY
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State | NJ
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Zip | 07306-4595
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Country | US
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Telephone | 929-888-1905
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | P126231
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License Number State | NY
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