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General NPI Number Information
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NPI Number | 1275858128
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Entity Type | Individual
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Provider Name | DAVID MATTHEW BREWER DPT
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Gender | Male
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 08/31/2017
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Provider Practice Location Address
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Address Line | 7618 OGONTZ AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19150-1817
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Country | US
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Telephone | 267-323-2778
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Fax | 267-323-2774
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Provider Business Mailing Address
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Address Line | 3131 COLLEGE HEIGHTS BLVD STE 2400
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City | ALLENTOWN
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State | PA
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Zip | 18104-4817
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Country | US
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Telephone | 610-432-7733
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Fax | 610-432-7733
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTO-20454
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License Number State | PA
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