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General NPI Number Information
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NPI Number | 1538289624
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Entity Type | Individual
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Provider Name | DAWN MICHELE BROSIUS RP
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1317 HILL ST
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City | HOLDREGE
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State | NE
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Zip | 68949-1237
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Country | US
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Telephone | 308-995-4401
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 BROADWAY ST
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City | HOLDREGE
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State | NE
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Zip | 68949-1226
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10819
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License Number State | NE
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