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General NPI Number Information
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NPI Number | 1013981265
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Entity Type | Individual
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Provider Name | LOIS E BRENNEMAN FNP
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Gender | Female
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 2550 N THUNDERBIRD CIR
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City | MESA
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State | AZ
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Zip | 85215-1214
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Country | US
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Telephone | 480-353-2235
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Fax | 480-776-0025
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Provider Business Mailing Address
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Address Line | 2550 N THUNDERBIRD CIR
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City | MESA
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State | AZ
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Zip | 85215-1214
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Country | US
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Telephone | 480-353-2235
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Fax | 480-776-0025
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NN07554500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F335207
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP009372
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP4256
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP-02170
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License Number State | NM
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