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General NPI Number Information
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NPI Number | 1043463607
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Entity Type | Individual
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Provider Name | MONICA RAE BROOKS PT
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Gender | Female
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 511 HEMPSTEAD AVE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2737
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Country | US
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Telephone | 516-565-0038
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Fax |
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Provider Business Mailing Address
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Address Line | 171 BON AIR AVE
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-3104
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Country | US
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Telephone | 917-355-5711
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 016539
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License Number State | NY
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