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General NPI Number Information
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NPI Number | 1033993365
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Entity Type | Individual
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Provider Name | EMILY ELIZABETH BROJ CRNA, DNAP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 169 ASHLEY AVE
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City | CHARLESTON
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State | SC
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Zip | 29425-8905
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Country | US
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Telephone | 224-234-2293
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Fax |
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Provider Business Mailing Address
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Address Line | 2721 CALICO BASS LN
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City | JOHNS ISLAND
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State | SC
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Zip | 29455-3181
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Country | US
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Telephone |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 240794
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 7842
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License Number State | NC
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