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General NPI Number Information
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NPI Number | 1881099455
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Entity Type | Individual
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Provider Name | JAMIE RENEE BROWER PHARM, D
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Gender | Female
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 3820 CRESTWOOD LN
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City | IDAHO FALLS
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State | ID
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Zip | 83404-4979
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Country | US
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Telephone | 208-241-3665
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Fax |
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Provider Business Mailing Address
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Address Line | 2965 E TARPON DR
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City | MERIDIAN
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State | ID
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Zip | 83642-9009
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Country | US
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Telephone | 208-208-9182
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P7106
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License Number State | ID
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