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General NPI Number Information
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NPI Number | 1962712588
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Entity Type | Individual
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Provider Name | SABRINA L BROWN-ENGRAM M.A.,LMHC, ED.M
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Gender | Female
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 310 MAIN ST
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City | UTICA
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State | NY
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Zip | 13501-1236
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Country | US
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Telephone | 315-794-6917
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Fax | 315-792-9578
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Provider Business Mailing Address
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Address Line | 310 MAIN ST
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City | UTICA
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State | NY
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Zip | 13501-1236
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Country | US
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Telephone | 315-794-6917
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Fax | 315-792-9578
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 003514-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 977227
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License Number State | NY
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