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General NPI Number Information
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NPI Number | 1003870916
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Entity Type | Individual
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Provider Name | JAMES B BROOKS PHARM D
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Gender | Male
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 319 LINDELL ST
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City | MARTIN
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State | TN
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Zip | 38237
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Country | US
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Telephone | 731-587-9509
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 MILES RD
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City | MARTIN
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State | TN
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Zip | 38237-5693
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Country | US
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Telephone | 731-587-5793
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5371
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License Number State | TN
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