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General NPI Number Information
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NPI Number | 1013732098
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Entity Type | Individual
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Provider Name | BROOKE ROLLINS LSW
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Gender | Female
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 1100 BEECHER XING N STE D
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City | COLUMBUS
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State | OH
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Zip | 43230-4565
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Country | US
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Telephone | 614-881-5804
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Fax |
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Provider Business Mailing Address
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Address Line | 218 MEADOWDALE DR
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City | SUNBURY
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State | OH
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Zip | 43074-7610
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Country | US
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Telephone | 419-340-4330
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | S.0800345
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License Number State | OH
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