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General NPI Number Information
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NPI Number | 1295928752
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Entity Type | Organization
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Legal Business Name | JOSH BROOKS, PLLC
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Dates
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Enumeration Date | 08/19/2007
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 7233 W DESCHUTES AVE. SUITE E
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City | KENNEWICK
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State | WA
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Zip | 99336
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Country | US
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Telephone | 509-586-4350
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Fax | 888-656-9322
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Provider Business Mailing Address
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Address Line | 7233 W DESCHUTES AVE. SUITE E
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City | KENNEWICK
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State | WA
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Zip | 99336
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Country | US
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Telephone | 509-586-4350
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Fax | 888-656-9322
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | JOSHUA DANIEL BROOKS
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Credential |
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Telephone | 509-586-4350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 126900000X
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Taxonomy Name | Dental Laboratory Technician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 122400000X
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Taxonomy Name | Denturist
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License Number | DN00000391
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License Number State | WA
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