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General NPI Number Information
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NPI Number | 1730074915
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Entity Type | Individual
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Provider Name | MR. CHARLES EDWARD BRETT JR.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 257 SILVER HILLS DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546-8749
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Country | US
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Telephone | 757-285-3328
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Fax |
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Provider Business Mailing Address
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Address Line | 257 SILVER HILLS DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546-8749
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Country | US
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Telephone | 757-285-3328
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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 | 246Y00000X
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Taxonomy Name | Health Information Specialist/Technologist
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License Number |
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License Number State |
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