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General NPI Number Information
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NPI Number | 1205701935
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Entity Type | Individual
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Provider Name | BARRY L BROOKINS JR.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 5150 CANDLEWOOD ST STE 22C
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City | LAKEWOOD
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State | CA
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Zip | 90712-1929
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Country | US
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Telephone | 562-270-4833
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Fax | 562-377-7961
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Provider Business Mailing Address
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Address Line | 2005 PALO VERDE AVE STE 251
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City | LONG BEACH
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State | CA
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Zip | 90815-3322
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Country | US
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Telephone | 562-270-4833
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Fax | 562-377-7961
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | CA
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