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General NPI Number Information
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NPI Number | 1043168131
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Entity Type | Individual
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Provider Name | BROOKE MCCLURE
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Gender |
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 101 3RD AVE SW STE 101
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City | MINOT
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State | ND
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Zip | 58701-3880
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Country | US
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Telephone | 701-857-5286
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Fax |
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Provider Business Mailing Address
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Address Line | 2576 MIDLAND FOSTERVILLE RD
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City | BELL BUCKLE
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State | TN
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Zip | 37020-6090
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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