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General NPI Number Information
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NPI Number | 1669925608
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Entity Type | Individual
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Provider Name | DANIEL BREWER NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 901 HARRY S TRUMAN DR N
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City | LARGO
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State | MD
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Zip | 20774-5477
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Country | US
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Telephone | 410-706-5181
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Fax | 240-677-0064
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Provider Business Mailing Address
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Address Line | PO BOX 62063
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City | BALTIMORE
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State | MD
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Zip | 21264-2063
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Country | US
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Telephone | 302-706-5181
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Fax | 410-706-5103
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | R221186
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License Number State | MD
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