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General NPI Number Information
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NPI Number | 1922814847
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Entity Type | Organization
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Legal Business Name | CARE BY BROWN LLC
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 2922 MARBURG ST
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City | DALLAS
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State | TX
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Zip | 75215-4323
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Country | US
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Telephone | 469-354-3248
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Fax |
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Provider Business Mailing Address
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Address Line | 4521 UTAH AVE
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City | DALLAS
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State | TX
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Zip | 75216-6850
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Country | US
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Telephone | 469-354-3248
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEZARAE TODMANN
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Credential |
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Telephone | 469-354-3248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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