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General NPI Number Information
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NPI Number | 1134308208
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Entity Type | Organization
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Legal Business Name | DOROTHY BROOKS R.N. FNP INC.
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 3330 CHURN CREEK RD B3
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City | REDDING
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State | CA
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Zip | 96002-2532
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Country | US
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Telephone | 530-222-1492
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Fax | 530-223-3992
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Provider Business Mailing Address
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Address Line | 1822 TRUMPET DR
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City | REDDING
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State | CA
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Zip | 96003
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Country | US
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Telephone | 530-241-1081
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Fax | 530-223-3992
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | VICKY THOMPSON
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Credential |
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Telephone | 530-223-2021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 320824
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License Number State | CA
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