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General NPI Number Information
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NPI Number | 1134060619
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Entity Type | Individual
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Provider Name | BROOKELYN GILMORE
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Gender | Female
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 224 S BRADY ST
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City | CLAREMORE
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State | OK
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Zip | 74017-5082
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Country | US
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Telephone | 918-342-6214
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Fax |
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Provider Business Mailing Address
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Address Line | 141 S 64TH ST W
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City | MUSKOGEE
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State | OK
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Zip | 74401-4526
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Country | US
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Telephone | 918-616-2272
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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