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General NPI Number Information
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NPI Number | 1093781338
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Entity Type | Individual
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Provider Name | BRIAN JAMES DREW NP
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 1300 RANCHO DEL ORO ROAD OCEANSIDE VA CLINIC
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City | OCEANSIDE
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State | CA
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Zip | 92056
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Country | US
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Telephone | 760-643-4472
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Fax | 760-643-2096
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Provider Business Mailing Address
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Address Line | 1626 DOWNS ST
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City | OCEANSIDE
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State | CA
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Zip | 92054-6109
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Country | US
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Telephone | 760-439-9132
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 453796
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13320
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License Number State | CA
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