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NPI 1841512969

NPI 1841512969 : DEBRA MICHELLE BREWER ACNS-BC, APN : BATESVILLE, AR

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General NPI Number Information
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    NPI Number           |    1841512969
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    Entity Type          |    Individual 
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    Provider Name        |    DEBRA MICHELLE BREWER ACNS-BC, APN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/16/2010
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    Last Update Date     |    02/16/2010
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Provider Practice Location Address
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    Address Line         |    1215 SIDNEY ST SUITE 201
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    City                 |    BATESVILLE
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    State                |    AR
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    Zip                  |    72501-7203
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    Country              |    US
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    Telephone            |    870-698-9997
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    Fax                  |    870-698-0022
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Provider Business Mailing Address
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    Address Line         |    1215 SIDNEY ST SUITE 201
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    City                 |    BATESVILLE
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    State                |    AR
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    Zip                  |    72501-7203
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    Country              |    US
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    Telephone            |    870-698-9997
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    Fax                  |    870-698-0022
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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        |    364SA2200X
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    Taxonomy Name        |    Adult Health Clinical Nurse Specialist
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    License Number       |    S02248 CNS
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    License Number State |    AR
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