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General NPI Number Information
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NPI Number | 1942566617
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Entity Type | Individual
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Provider Name | JULIE MAE BREWER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2012
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3625 MAIN ST
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City | PIKEVILLE
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State | TN
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Zip | 37367-5319
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Country | US
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Telephone | 423-447-6287
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Fax | 423-447-6315
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Provider Business Mailing Address
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Address Line | 6630 SUMMER KNOLL CIR STE 101
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City | BARTLETT
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State | TN
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Zip | 38134-2926
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Country | US
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Telephone | 901-746-9438
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD50990
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License Number State | TN
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