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NPI 1699959403

NPI 1699959403 : DAVID LEWIS BREWER JR. CRNP : CHAMBERSBURG, PA

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General NPI Number Information
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    NPI Number           |    1699959403
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID LEWIS BREWER JR. CRNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/28/2007
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    Last Update Date     |    05/07/2021
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Provider Practice Location Address
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    Address Line         |    12 ST PAUL DR STE 204 
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    City                 |    CHAMBERSBURG
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    State                |    PA
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    Zip                  |    17201-1035
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    Country              |    US
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    Telephone            |    717-217-6886
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    Fax                  |    717-217-6896
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Provider Business Mailing Address
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    Address Line         |    785 5TH AVE STE 3 
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    City                 |    CHAMBERSBURG
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    State                |    PA
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    Zip                  |    17201-4232
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    Country              |    US
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    Telephone            |    717-263-9555
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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       |    SP009683
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    SP009683
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    License Number State |    PA
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