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General NPI Number Information
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NPI Number | 1942542949
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Entity Type | Individual
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Provider Name | CHARNE BROWN POWELL M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 09/02/2020
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Provider Practice Location Address
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Address Line | 4600 BROADWAY
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City | SACRAMENTO
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State | CA
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Zip | 95820-1527
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Country | US
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Telephone | 916-217-3683
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Fax |
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Provider Business Mailing Address
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Address Line | SCOE - PREVENTION & EARLY INTERVENTION PO BOX 269003
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City | SACRAMENTO
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State | CA
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Zip | 95826
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Country | US
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Telephone | 916-217-3683
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF 74483
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 98290
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License Number State | CA
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