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General NPI Number Information
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NPI Number | 1225949969
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Entity Type | Individual
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Provider Name | TABATHA LLOYD-BREWER LPN
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 395 HARDING ST
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City | DEFIANCE
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State | OH
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Zip | 43512
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Country | US
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Telephone | 844-534-3638
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Fax |
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Provider Business Mailing Address
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Address Line | 614 HUDDLE RD
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City | NAPOLEON
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State | OH
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Zip | 43545-9111
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Country | US
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Telephone | 419-966-7172
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN.151219.MEDS-IV
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License Number State | OH
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