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General NPI Number Information
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NPI Number | 1184059834
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Entity Type | Individual
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Provider Name | ABIGAIL BREMER
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Gender | Female
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 04/04/2018
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Provider Practice Location Address
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Address Line | 3350 LA JOLLA VILLAGE DR
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City | SAN DIEGO
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State | CA
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Zip | 92161-2636
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Country | US
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Telephone | 858-552-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 10172 ELM CREEK TRL N
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City | CHAMPLIN
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State | MN
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Zip | 55316-2636
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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 |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 22749
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License Number State | MN
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