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General NPI Number Information
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NPI Number | 1073886446
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Entity Type | Individual
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Provider Name | NOHEMIE BREVIL M.D., FAAP
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Gender | Female
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 818 E SUNFLOWER RD
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City | CLEVELAND
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State | MS
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Zip | 38732-2824
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Country | US
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Telephone | 662-579-3449
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Fax | 662-579-3459
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Provider Business Mailing Address
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Address Line | PO BOX 60
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City | CLEVELAND
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State | MS
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Zip | 38732-0060
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Country | US
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Telephone | 662-579-3449
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Fax | 662-579-3469
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125057385
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 23162
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License Number State | MS
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