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General NPI Number Information
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NPI Number | 1952392540
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Entity Type | Individual
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Provider Name | DIANE M BREWER CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 8000 E MAPLEWOOD AVE STE 200
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4727
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Country | US
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Telephone | 303-438-3999
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Fax | 720-439-9500
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Provider Business Mailing Address
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Address Line | 8000 E MAPLEWOOD AVE STE 200
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4727
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Country | US
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Telephone | 314-616-4730
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 188755
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2000151476
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 5918
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License Number State | CO
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