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General NPI Number Information
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NPI Number | 1679029110
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Entity Type | Organization
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Legal Business Name | TAMEKA BREMMER
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Dates
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Enumeration Date | 08/25/2016
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 171 W KINGSBRIDGE RD 3RD FL
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City | MOUNT VERNON
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State | NY
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Zip | 10550-4831
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Country | US
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Telephone | 201-927-6220
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Fax |
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Provider Business Mailing Address
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Address Line | 171 W KINGSBRIDGE RD 3RD FL
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City | MOUNT VERNON
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State | NY
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Zip | 10550-4831
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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 | REGISTERED NURSE
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Name | TAMEKA BREMMER
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Credential |
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Telephone | 201-927-6220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 22712706
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License Number State | NY
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