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General NPI Number Information
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NPI Number | 1679187389
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Entity Type | Individual
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Provider Name | ANGELA D. BREWIN MSN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/01/2020
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 1925 PACIFIC AVE FL 8
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401-6713
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Country | US
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Telephone | 609-572-8241
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Fax | 609-441-8002
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Provider Business Mailing Address
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Address Line | 32 WILTON WAY
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-9215
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Country | US
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Telephone | 856-261-0083
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ01021800
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License Number State | NJ
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