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General NPI Number Information
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NPI Number | 1083031397
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Entity Type | Individual
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Provider Name | LAUREN BROOKS LPC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 928 MARKET ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-3731
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Country | US
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Telephone | 215-923-4202
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Fax |
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Provider Business Mailing Address
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Address Line | 312 E GIRARD AVENUE 2ND FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19125
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Country | US
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Telephone | 732-278-3364
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 009533
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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