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General NPI Number Information
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NPI Number | 1891876637
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Entity Type | Individual
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Provider Name | JAMES M BREMER AUD
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 01/26/2017
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Provider Practice Location Address
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Address Line | 1300 FLOYD AVE
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City | ROME
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State | NY
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Zip | 13440-4600
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Country | US
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Telephone | 315-337-0654
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Fax | 315-337-0767
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Provider Business Mailing Address
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Address Line | 114 GENESEE ST
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City | NEW HARTFORD
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State | NY
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Zip | 13413-2329
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Country | US
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Telephone | 315-337-0654
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Fax | 315-337-0767
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 001348
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License Number State | NY
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