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General NPI Number Information
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NPI Number | 1669818548
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Entity Type | Individual
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Provider Name | JESSICA BROZEK MD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2013
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 800 MEDICAL CENTER DR
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City | NEWTON
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State | KS
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Zip | 67114-7808
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Country | US
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Telephone | 316-283-9977
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Fax |
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Provider Business Mailing Address
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Address Line | 800 MEDICAL CENTER DR
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City | NEWTON
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State | KS
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Zip | 67114-7808
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 63676
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License Number State | MN
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