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General NPI Number Information
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NPI Number | 1598508665
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Entity Type | Individual
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Provider Name | KYLE AARON BREWER FNP-C
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Gender | Male
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1150 N COLE ST
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City | BUSHNELL
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State | IL
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Zip | 61422-9503
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Country | US
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Telephone | 309-772-9444
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Fax | 309-772-9446
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Provider Business Mailing Address
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Address Line | 1150 N COLE ST
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City | BUSHNELL
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State | IL
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Zip | 61422-9503
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Country | US
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Telephone | 309-772-9444
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Fax | 309-772-9446
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.030202
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License Number State | IL
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