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General NPI Number Information
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NPI Number | 1922257898
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Entity Type | Individual
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Provider Name | LATASHA BROWN LPC
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Gender | Female
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 200 E WOODLAWN RD BUILDING 1--SUITE 225 E
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City | CHARLOTTE
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State | NC
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Zip | 28217-2303
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Country | US
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Telephone | 704-620-8273
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Fax | 704-529-1400
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Provider Business Mailing Address
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Address Line | 1382 SPRING VIEW CT
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City | ROCK HILL
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State | SC
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Zip | 29732-8849
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Country | US
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Telephone | 803-448-1331
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Fax | 803-324-5111
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7115
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License Number State | NC
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