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General NPI Number Information
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NPI Number | 1447078050
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Entity Type | Organization
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Legal Business Name | BREWERS FAMILY MEDICINE
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 6789 RIDGE RD
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City | CLEVELAND
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State | OH
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Zip | 44129-5649
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Country | US
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Telephone | 937-629-4440
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Fax | 937-629-4787
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Provider Business Mailing Address
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Address Line | 1320 E HIGH ST APT 3
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City | SPRINGFIELD
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State | OH
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Zip | 45505-1155
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Country | US
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Telephone | 937-629-4440
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Fax | 937-629-4798
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Authorized Official
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Title or Position | HEAD NURSE PRACTICER
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Name | MR. CHRISTOPHER ROBERT TOROWSKI
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Credential | NP
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Telephone | 937-629-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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