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General NPI Number Information
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NPI Number | 1992403976
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Entity Type | Individual
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Provider Name | ELIZABETH BREWSTER MS
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Gender | Female
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 1843 N HAGADORN RD
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City | EAST LANSING
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State | MI
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Zip | 48823-2229
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Country | US
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Telephone | 517-332-5061
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Fax |
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Provider Business Mailing Address
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Address Line | 404 JOHN K DR
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City | AUBURN
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State | MI
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Zip | 48611-9308
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7152000540APP23
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License Number State | MI
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