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General NPI Number Information
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NPI Number | 1700629227
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Entity Type | Individual
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Provider Name | KEVIN BREWER FNP-C
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Gender | Male
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Dates
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Enumeration Date | 06/13/2024
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 108 AVALON AVE
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661-2800
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Country | US
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Telephone | 256-284-7706
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Fax | 256-284-7711
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Provider Business Mailing Address
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Address Line | 3515 CLOVERDALE RD
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City | FLORENCE
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State | AL
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Zip | 35633-1301
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Country | US
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Telephone | 256-284-7706
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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 | 1-141246
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License Number State | AL
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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 | 1-141246
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License Number State | AL
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