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General NPI Number Information
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NPI Number | 1720294648
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Entity Type | Individual
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Provider Name | MRS. BAILEY BREWER
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6001 NORRIS CANYON RD
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City | SAN RAMON
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State | CA
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Zip | 94583-5400
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Country | US
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Telephone | 925-275-8442
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4692
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City | OAK RIDGE
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State | TN
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Zip | 37831-4692
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Country | US
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Telephone | 865-684-6625
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 745
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License Number State | CA
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