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General NPI Number Information
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NPI Number | 1831821933
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Entity Type | Individual
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Provider Name | JA'LAYSHA UNIQUE BROWN B.S.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 693 W BULLARD AVE
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City | FRESNO
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State | CA
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Zip | 93704-1607
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Country | US
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Telephone | 559-425-6885
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Fax |
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Provider Business Mailing Address
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Address Line | 1103 GETTYSBURG AVE APT 1163
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City | CLOVIS
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State | CA
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Zip | 93612-3909
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Country | US
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Telephone | 661-472-7272
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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 |
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License Number State |
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