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General NPI Number Information
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NPI Number | 1154316719
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Entity Type | Individual
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Provider Name | JANICE LYNN BREMEN D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 4650 HILLS AND DALES RD NW
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City | CANTON
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State | OH
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Zip | 44708-6220
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Country | US
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Telephone | 330-491-9675
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Fax |
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Provider Business Mailing Address
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Address Line | 3916 ARLINGTON RD UNIT 1100
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City | UNIONTOWN
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State | OH
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Zip | 44685-6951
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Country | US
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Telephone | 330-301-0081
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34002633
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License Number State | OH
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