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General NPI Number Information
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NPI Number | 1760756423
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Entity Type | Individual
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Provider Name | CATHERINE MICHELLE BRASHEAR NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 1025 DIVISION ST
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City | BILOXI
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State | MS
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Zip | 39530-2906
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Country | US
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Telephone | 228-388-2599
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Fax | 228-248-0129
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Provider Business Mailing Address
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Address Line | 10292 LAMEY ST
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City | DIBERVILLE
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State | MS
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Zip | 39540-4636
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Country | US
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Telephone | 228-248-0058
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Fax | 228-248-0129
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R875469
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License Number State | MS
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