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General NPI Number Information
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NPI Number | 1790644722
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Entity Type | Individual
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Provider Name | WILLIAM JOSEPH BREWER JR. PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 435 HURFFVILLE CROSS KEYS RD
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2453
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Country | US
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Telephone | 800-533-3669
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Fax |
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Provider Business Mailing Address
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Address Line | 264 CHERYL LN
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City | BRICK
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State | NJ
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Zip | 08723-6302
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Country | US
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Telephone | 732-678-8961
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00994200
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License Number State | NJ
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