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General NPI Number Information
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NPI Number | 1194073528
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Entity Type | Individual
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Provider Name | LINDSEY BREWER O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 1850 POPPS FERRY RD C321
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City | BILOXI
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State | MS
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Zip | 39532-2059
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Country | US
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Telephone | 231-629-1128
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Fax |
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Provider Business Mailing Address
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Address Line | 3430 BIENVILLE BLVD C321
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-5732
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Country | US
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Telephone | 228-875-6658
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Fax | 228-875-0809
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8034T
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 913
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License Number State | MS
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