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General NPI Number Information
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NPI Number | 1154225761
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Entity Type | Organization
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Legal Business Name | PAPA DOCS KS P.A.
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 2332 GALIANO ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-5402
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Country | US
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Telephone | 786-432-0117
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Fax |
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Provider Business Mailing Address
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Address Line | 390 NE 191ST ST STE 17051
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City | MIAMI
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State | FL
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Zip | 33179-3899
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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 | OWNER
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Name | DR. THOMAS FORDHAM BREWER
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Credential | MD
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Telephone | 859-327-2792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State | NULL
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