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General NPI Number Information
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NPI Number | 1134196546
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Entity Type | Individual
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Provider Name | LLOYD W BROOKS DO
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Gender | Male
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 1201 SUMMIT AVE STE 500
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City | FORT WORTH
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State | TX
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Zip | 76102-4428
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Country | US
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Telephone | 817-332-9494
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Fax | 817-870-1474
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Provider Business Mailing Address
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Address Line | 9229 LYNDON B JOHNSON FWY SUITE 250
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City | DALLAS
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State | TX
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Zip | 75243-3405
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Country | US
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Telephone | 972-739-3097
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Fax | 972-739-2673
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | H0213
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License Number State | TX
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