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General NPI Number Information
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NPI Number | 1821813338
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Entity Type | Individual
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Provider Name | CHRISTINA BREWER FNP
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 19 LAKES AVE
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City | NESPELEM
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State | WA
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Zip | 99155
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Country | US
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Telephone | 509-634-2913
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Fax |
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Provider Business Mailing Address
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Address Line | 512 9TH ST NE
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City | RUSKIN
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State | FL
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Zip | 33570-7620
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Country | US
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Telephone | 813-210-2308
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11033361
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License Number State | FL
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