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General NPI Number Information
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NPI Number | 1124815824
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Entity Type | Individual
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Provider Name | BROOKE THOMPSON DO
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Gender | Female
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1200 SOUTH CEDAR CREST BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103
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Country | US
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Telephone | 610-402-7712
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Fax |
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Provider Business Mailing Address
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Address Line | 5265 ROCKROSE LN BLDG A36
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City | ALLENTOWN
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State | PA
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Zip | 18104-8241
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Country | US
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Telephone | 215-450-5005
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | HS000009L
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License Number State | PA
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