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NPI 1912450404

NPI 1912450404 : ASHLEY BREWER : GIG HARBOR, WA

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General NPI Number Information
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    NPI Number           |    1912450404
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY BREWER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/01/2016
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    Last Update Date     |    09/22/2023
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Provider Practice Location Address
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    Address Line         |    6625 WAGNER WAY STE 320 
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    City                 |    GIG HARBOR
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    State                |    WA
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    Zip                  |    98335-8392
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    Country              |    US
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    Telephone            |    253-858-7056
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    916 WASHINGTON AVE 
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    City                 |    BREMERTON
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    State                |    WA
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    Zip                  |    98337-1848
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    Country              |    US
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    Telephone            |    253-444-7306
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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