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General NPI Number Information
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NPI Number | 1821630013
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Entity Type | Individual
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Provider Name | JOHN HENRY BROWN III LBA-TX
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Gender | Male
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 2051 GREENHOUSE RD STE 160
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City | HOUSTON
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State | TX
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Zip | 77084-8022
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Country | US
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Telephone | 281-832-1794
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Fax |
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Provider Business Mailing Address
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Address Line | 6914 BRISBANE CT STE 200
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City | SUGAR LAND
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State | TX
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Zip | 77479-4924
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Country | US
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Telephone | 281-832-1794
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 6969
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License Number State | TX
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