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General NPI Number Information
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NPI Number | 1750094447
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Entity Type | Individual
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Provider Name | MADELEINE BREWSTER PT,DPT
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Gender | Female
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 1115 U ST NW STE 202
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City | WASHINGTON
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State | DC
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Zip | 20009-7875
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Country | US
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Telephone | 202-897-3991
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 TAPESTRY DR
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City | CELEBRATION
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State | FL
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Zip | 34747-4034
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Country | US
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Telephone | 574-344-8634
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05014447A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1340584
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 304023
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02018500
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT39844
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT210002520
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License Number State | DC
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