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General NPI Number Information
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NPI Number | 1942587175
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Entity Type | Individual
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Provider Name | HEATHER AMANDA BREWER M.A., LPC
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Gender | Female
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 422 MCARTHUR RD STE 201B
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-6928
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Country | US
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Telephone | 910-323-0965
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Fax |
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Provider Business Mailing Address
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Address Line | 117 SCRANTON CT
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City | CAMERON
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State | NC
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Zip | 28326-6228
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Country | US
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Telephone | 910-689-4243
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9391
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License Number State | NC
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