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General NPI Number Information
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NPI Number | 1013905116
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Entity Type | Individual
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Provider Name | JULIUS BROOKS M.D
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Gender | Male
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 1000 ATLANTIC AVE
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City | CAMDEN
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State | NJ
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Zip | 08104-1132
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Country | US
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Telephone | 856-246-3542
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Fax | 856-246-3528
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR STE 410
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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Country | US
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Telephone | 856-355-0340
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Fax | 856-355-0330
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA05121800
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License Number State | NJ
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