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General NPI Number Information
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NPI Number | 1982809430
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Entity Type | Individual
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Provider Name | NANCY G BROWN MN,CNS
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5105 W GOLDLEAF CIR
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City | LOS ANGELES
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State | CA
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Zip | 90056-1269
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Country | US
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Telephone | 323-298-3253
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Fax | 323-298-3126
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Provider Business Mailing Address
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Address Line | 4164 KEYSTONE AVE
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City | CULVER CITY
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State | CA
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Zip | 90232-3433
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Country | US
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Telephone | 310-839-6160
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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 | 255067
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License Number State | CA
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