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General NPI Number Information
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NPI Number | 1376480806
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Entity Type | Individual
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Provider Name | SHAUNETTE MARIE BREMS
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 3500 DALTON WAY SW STE 300
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City | CEDAR RAPIDS
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State | IA
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Zip | 52404-2567
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Country | US
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Telephone | 319-369-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 406 WESTRIDGE DR SW
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City | CEDAR RAPIDS
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State | IA
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Zip | 52404-8044
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 157640
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License Number State | IA
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