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General NPI Number Information
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NPI Number | 1497050579
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Entity Type | Individual
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Provider Name | BREN CASE ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 12/24/2015
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Provider Practice Location Address
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Address Line | 14730 COBRA WAY
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City | HUDSON
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State | FL
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Zip | 34669-1083
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Country | US
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Telephone | 727-246-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 6482 OVENBIRD RD
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City | WEEKI WACHEE
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State | FL
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Zip | 34613-8302
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Country | US
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Telephone | 352-346-0993
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9229103
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License Number State | FL
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