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General NPI Number Information
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NPI Number | 1114274883
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Entity Type | Individual
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Provider Name | BROOKE M THOMAS CNP
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Gender | Female
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Dates
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Enumeration Date | 08/12/2012
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 880 MULL AVE
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City | AKRON
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State | OH
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Zip | 44313-7522
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Country | US
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Telephone | 330-590-0847
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Fax | 330-451-5782
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Provider Business Mailing Address
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Address Line | 514 FOXBOROUGH DR
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City | BRUNSWICK
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State | OH
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Zip | 44212-4343
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Country | US
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Telephone | 440-666-0268
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN.CNP.0029939
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN362959
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License Number State | OH
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