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General NPI Number Information
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NPI Number | 1144022013
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Entity Type | Individual
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Provider Name | NIKENYA D BROOKS
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Gender | Female
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 10026 E 21ST STE 203
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City | INDIANAPOLIS
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State | IN
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Zip | 46229-0000
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Country | US
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Telephone | 317-500-1806
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Fax |
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Provider Business Mailing Address
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Address Line | 8632 CORALBERRY LANE
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-0000
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Country | US
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Telephone | 765-631-7061
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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