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General NPI Number Information
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NPI Number | 1578051496
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Entity Type | Individual
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Provider Name | RYLAND MATTHEW BREWER RN, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1451 DOWELL SPRINGS BLVD
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City | KNOXVILLE
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State | TN
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Zip | 37909-2441
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Country | US
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Telephone | 865-970-9800
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Fax | 865-374-7317
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Provider Business Mailing Address
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Address Line | 801 GATE LN APT 309
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City | KNOXVILLE
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State | TN
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Zip | 37909-3539
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Country | US
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Telephone | 423-368-0485
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Fax | 865-374-7317
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 36091
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 200741
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License Number State | TN
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