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General NPI Number Information
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NPI Number | 1154733392
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Entity Type | Individual
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Provider Name | JAMIE L BREWER NP
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Gender | Female
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 2785 HIGHWAY 49 S STE B
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City | FLORENCE
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State | MS
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Zip | 39073-9411
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Country | US
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Telephone | 601-832-2616
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Fax | 949-561-5551
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Provider Business Mailing Address
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Address Line | PO BOX 1697
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City | FLORENCE
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State | MS
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Zip | 39073-1697
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Country | US
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Telephone | 601-891-8657
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Fax | 949-561-5551
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | R891185
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License Number State | MS
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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 | R891185
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License Number State | MS
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