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General NPI Number Information
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NPI Number | 1982741625
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Entity Type | Individual
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Provider Name | RENE P. BROWN PSYD
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 130 HIGHWAY 252
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City | ANDERSON
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State | SC
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Zip | 29621-5054
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Country | US
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Telephone | 803-898-8405
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 485
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City | COLUMBIA
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State | SC
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Zip | 29202-0485
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Country | US
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Telephone | 803-898-8405
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1001
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License Number State | SC
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