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General NPI Number Information
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NPI Number | 1033603667
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Entity Type | Individual
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Provider Name | REBECCA ANN BREWIS LLMSW
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Gender | Female
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 51 S HOWELL ST
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City | HILLSDALE
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State | MI
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Zip | 49242-1851
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Country | US
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Telephone | 517-262-7650
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Fax | 734-212-8169
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Provider Business Mailing Address
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Address Line | 5123 OLD PLANK RD
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City | ONONDAGA
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State | MI
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Zip | 49264-9707
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Country | US
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Telephone | 517-628-2287
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Fax | 517-212-8169
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801102922
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License Number State | MI
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