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General NPI Number Information
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NPI Number | 1871885178
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Entity Type | Organization
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Legal Business Name | RAY H. BROWN, PH.D.,P.C.
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 5502 58TH ST SUITE # 600
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City | LUBBOCK
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State | TX
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Zip | 79414-2000
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Country | US
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Telephone | 806-792-3808
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Fax | 806-792-1506
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Provider Business Mailing Address
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Address Line | 5502 58TH ST SUITE # 600
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City | LUBBOCK
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State | TX
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Zip | 79414-2000
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Country | US
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Telephone | 806-792-3808
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Fax | 806-792-1506
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. RAY H BROWN
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Credential | PH.D.
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Telephone | 806-792-3808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2-1602
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License Number State | TX
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