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General NPI Number Information
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NPI Number | 1770296691
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Entity Type | Individual
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Provider Name | CLAIRE BREWER
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Gender | Female
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 10801 S SAGINAW ST STE D
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City | GRAND BLANC
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State | MI
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Zip | 48439-8126
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Country | US
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Telephone | 810-771-4074
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Fax |
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Provider Business Mailing Address
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Address Line | 2752 W MEADOW DR
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City | WHITE LAKE
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State | MI
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Zip | 48383-1812
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Country | US
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Telephone | 248-881-1505
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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