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General NPI Number Information
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NPI Number | 1790902492
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Entity Type | Individual
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Provider Name | ALISON JANE BRAWNER LPC
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 380 E HWY CC STE A105
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City | NIXA
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State | MO
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Zip | 65804
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Country | US
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Telephone | 417-725-8810
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 S FAIRWAY AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65804-0210
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Country | US
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Telephone | 417-889-6506
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2003019059
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License Number State | MO
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