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General NPI Number Information
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NPI Number | 1477449395
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Entity Type | Individual
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Provider Name | JENNA ANNE BREWER MS, CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 5085 W PARK BLVD STE 400
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City | PLANO
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State | TX
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Zip | 75093-2592
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Country | US
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Telephone | 469-850-2909
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Fax |
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Provider Business Mailing Address
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Address Line | 4221 OLD DENTON RD APT 8108
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City | CARROLLTON
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State | TX
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Zip | 75010-2338
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Country | US
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Telephone | 619-871-0488
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 123579
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License Number State | TX
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