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General NPI Number Information
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NPI Number | 1023487691
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Entity Type | Individual
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Provider Name | BROOKE THOMPSON MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/24/2015
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 3449 NEWMARK DR
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City | MIAMISBURG
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State | OH
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Zip | 45342-5426
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Country | US
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Telephone | 937-281-1286
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Fax |
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Provider Business Mailing Address
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Address Line | 1311 MAMARONECK AVE STE 140
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City | WHITE PLAINS
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State | NY
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Zip | 10605-5224
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Country | US
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Telephone | 914-294-4050
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT011566
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | OTA.05587
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License Number State | OH
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