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General NPI Number Information
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NPI Number | 1417424722
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Entity Type | Individual
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Provider Name | CASEY ANN-TAYLOR BREWER LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 705 AVENUE K STE A
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City | ELY
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State | NV
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Zip | 89301-2701
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Country | US
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Telephone | 775-293-7428
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Fax |
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Provider Business Mailing Address
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Address Line | 705 AVENUE K STE A
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City | ELY
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State | NV
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Zip | 89301-2732
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Country | US
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Telephone | 775-293-7428
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Fax | 775-898-0060
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10620-C
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License Number State | NV
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