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General NPI Number Information
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NPI Number | 1982464418
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Entity Type | Individual
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Provider Name | SHAMEKA ANN BROWN
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Gender | Female
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 1545 CROSSWAYS BLVD
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0205
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Country | US
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Telephone | 757-945-4005
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Fax |
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Provider Business Mailing Address
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Address Line | 104 PLEASANT CT APT 4
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-5351
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Country | US
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Telephone | 175-732-4666
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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 | 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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