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General NPI Number Information
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NPI Number | 1629712625
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Entity Type | Individual
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Provider Name | ALIA BREWER
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Gender | Female
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 850 MILL ST STE 100
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City | RENO
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State | NV
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Zip | 89502-1463
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Country | US
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Telephone | 775-538-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 565 SPARKS BLVD APT 479
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City | SPARKS
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State | NV
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Zip | 89434-7976
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Country | US
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Telephone | 530-414-0930
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 9833-S
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License Number State | NV
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