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General NPI Number Information
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NPI Number | 1760682090
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Entity Type | Individual
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Provider Name | MATTHEW SCOTT BRASHIER D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 147 REYNOIR ST STE 101
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City | BILOXI
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State | MS
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Zip | 39530-4119
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Country | US
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Telephone | 228-436-1348
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Fax |
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Provider Business Mailing Address
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Address Line | 147 REYNOIR ST STE 101
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City | BILOXI
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State | MS
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Zip | 39530-4119
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Country | US
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Telephone | 228-617-1488
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 21812
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License Number State | MS
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