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General NPI Number Information
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NPI Number | 1902144181
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Entity Type | Individual
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Provider Name | JAMES DOUGLAS BREMNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 2103 HARRISON AVE NW # 2791
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City | OLYMPIA
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State | WA
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Zip | 98502-2636
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Country | US
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Telephone | 360-867-4949
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Fax | 360-867-9771
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Provider Business Mailing Address
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Address Line | 2103 HARRISON AVE NW # 2791
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City | OLYMPIA
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State | WA
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Zip | 98502-2636
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Country | US
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Telephone | 360-867-4949
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Fax | 360-867-9771
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD 00005471
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License Number State | WA
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