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NPI 1902668247

NPI 1902668247 : SYLVIA E BROWN : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1902668247
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    Entity Type          |    Individual 
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    Provider Name        |    SYLVIA E BROWN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/23/2024
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    Last Update Date     |    01/23/2024
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Provider Practice Location Address
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    Address Line         |    1601 NEW STINE RD STE 195 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-3699
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    Country              |    US
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    Telephone            |    323-426-6402
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8201 CAMINO MEDIA APT 126 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93311-2015
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    Country              |    US
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    Telephone            |    805-470-2655
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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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