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General NPI Number Information
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NPI Number | 1083346050
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Entity Type | Individual
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Provider Name | AUSTIN MONTGOMERY BREKKE FNP, DNP
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Gender | Male
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 17121 E 8TH AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99016-8556
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Country | US
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Telephone | 208-819-2183
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Fax | 208-209-6063
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Provider Business Mailing Address
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Address Line | 18112 E 11TH AVE
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City | GREENACRES
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State | WA
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Zip | 99016-8657
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Country | US
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Telephone | 509-570-2695
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61312368
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License Number State | WA
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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 | 74029
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License Number State | ID
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