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General NPI Number Information
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NPI Number | 1871807842
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Entity Type | Individual
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Provider Name | JAN M BROWN CADC
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Gender | Female
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 08/02/2010
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Provider Practice Location Address
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Address Line | 30 BOYNTON ST
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City | EASTPORT
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State | ME
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Zip | 04631-1306
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Country | US
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Telephone | 207-853-6001
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Fax | 207-853-4031
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Provider Business Mailing Address
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Address Line | PO BOX H
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City | EASTPORT
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State | ME
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Zip | 04631-0909
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Country | US
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Telephone | 207-853-6001
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Fax | 207-853-4031
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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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