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General NPI Number Information
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NPI Number | 1619529203
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Entity Type | Individual
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Provider Name | EMILY ELIZABETH BROWN REEVES PHD CNS
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Gender | Female
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 2020 SHAMROCK DR NW
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City | BREMERTON
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State | WA
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Zip | 98312-2510
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Country | US
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Telephone | 979-703-9608
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 SHAMROCK DR NW
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City | BREMERTON
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State | WA
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Zip | 98312-2510
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Country | US
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Telephone | 979-703-9608
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 17777
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number |
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Taxonomy #3
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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Taxonomy #4
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Taxonomy Code | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number |
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Taxonomy #5
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number |
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