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General NPI Number Information
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NPI Number | 1275016271
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Entity Type | Individual
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Provider Name | MEGAN SQUIRES BREWER CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/14/2018
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 25 COURTENAY DR
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City | CHARLESTON
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State | SC
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Zip | 29425-1004
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Country | US
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Telephone | 843-792-2300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23467
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City | NEW YORK
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State | NY
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Zip | 10087-3467
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Country | US
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Telephone | 864-590-0038
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN2323546
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 6749
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 27789
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License Number State | SC
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