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General NPI Number Information
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NPI Number | 1104593896
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Entity Type | Individual
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Provider Name | HELEN CHARLENE BROOKS MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 123 GORDON ST
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City | WASHINGTON
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State | GA
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Zip | 30673-1601
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Country | US
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Telephone | 706-678-1633
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Fax | 706-648-1634
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Provider Business Mailing Address
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Address Line | 7686 SANDHILL RD
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City | MITCHELL
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State | GA
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Zip | 30820-2016
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Country | US
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Telephone | 706-466-4343
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN215796
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License Number State | GA
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