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General NPI Number Information
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NPI Number | 1194949339
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Entity Type | Individual
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Provider Name | PHILIPPINE BROOKE MD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 2850 SE THIRD COURT
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City | OCALA
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State | FL
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Zip | 34471-4118
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Country | US
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Telephone | 352-732-6474
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Fax | 352-732-7205
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Provider Business Mailing Address
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Address Line | 2020 SE 17TH ST
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City | OCALA
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State | FL
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Zip | 34471-4118
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Country | US
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Telephone | 352-861-0440
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Fax | 352-861-1869
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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 | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | ME 64858
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License Number State | FL
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