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General NPI Number Information
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NPI Number | 1205072048
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Entity Type | Organization
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Legal Business Name | BROOKS & ASSOCIATES
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 12/29/2008
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Provider Practice Location Address
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Address Line | 6850 HILLTOP RD STE 170
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City | SHAWNEE
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State | KS
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Zip | 66226-3562
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Country | US
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Telephone | 913-248-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 6850 HILLTOP RD STE 170
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City | SHAWNEE
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State | KS
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Zip | 66226-3562
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Country | US
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Telephone | 913-248-8008
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. CARLENE MARIE BREEN
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Credential | ARNP
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Telephone | 913-248-8008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 46287
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License Number State | KS
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