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General NPI Number Information
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NPI Number | 1942789979
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Entity Type | Individual
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Provider Name | KIMBERLY ELIZABETH BROWN LSW
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Gender | Female
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 7 FAYETTE CTR
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-2120
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Country | US
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Telephone | 740-313-7513
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Fax |
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Provider Business Mailing Address
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Address Line | 110 HIGHLAND AVE
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-1208
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Country | US
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Telephone | 740-335-8228
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.171459
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2005219
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License Number State | OH
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