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General NPI Number Information
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NPI Number | 1215393459
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Entity Type | Individual
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Provider Name | BROOKE ROBIE
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Gender | Female
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Dates
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Enumeration Date | 01/04/2016
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 3303 N BROADWAY
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City | LOS ANGELES
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State | CA
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Zip | 90031-2803
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Country | US
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Telephone | 323-478-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 526 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90013-2102
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Country | US
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Telephone | 213-488-9559
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Fax | 213-270-9060
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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