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General NPI Number Information
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NPI Number | 1558949081
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Entity Type | Individual
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Provider Name | KAITLYN ELIZABETH BROBST ND
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Gender | Female
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 851 LEONARD FULGHUM DR STE 201
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-3793
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Country | US
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Telephone | 843-884-5133
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Fax | 843-849-3343
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Provider Business Mailing Address
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Address Line | 880 ISLAND PARK DR UNIT 230
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City | DANIEL ISLAND
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State | SC
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Zip | 29492-2902
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Country | US
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Telephone | 843-380-9330
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Fax | 843-380-8212
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 94499
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License Number State | SC
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