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General NPI Number Information
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NPI Number | 1942941497
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Entity Type | Individual
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Provider Name | ALICE W BRUMLEY DNP
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Gender | Female
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 777 GLADES RD BLDG AZ-79
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City | BOCA RATON
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State | FL
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Zip | 33431-6424
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Country | US
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Telephone | 561-297-0502
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Fax | 561-297-0505
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Provider Business Mailing Address
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Address Line | 21575 KAPOK CIR
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City | BOCA RATON
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State | FL
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Zip | 33433-3718
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Country | US
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Telephone | 561-462-0622
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11015184
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11015184
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License Number State | FL
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