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General NPI Number Information
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NPI Number | 1104225937
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Entity Type | Individual
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Provider Name | DOUGLAS BROOKS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 4440 HIGHWAY 411
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City | MADISONVILLE
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State | TN
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Zip | 37354-1563
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Country | US
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Telephone | 423-442-4778
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Fax |
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Provider Business Mailing Address
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Address Line | 2409 ROBINSON RD
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City | KNOXVILLE
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State | TN
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Zip | 37923-1327
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Country | US
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Telephone | 865-414-8624
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 36922
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License Number State | TN
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