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General NPI Number Information
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NPI Number | 1316842461
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Entity Type | Individual
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Provider Name | DALTON BROOKS CNIM, B.S.
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Gender | Male
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 2 N NEVADA AVE STE 1000
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-1719
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Country | US
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Telephone | 866-226-8576
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Fax |
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Provider Business Mailing Address
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Address Line | 238 ANATOLE LOOP
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City | HOT SPRINGS NATIONAL PARK
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State | AR
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Zip | 71901-9327
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Country | US
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Telephone | 318-464-4749
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Fax |
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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 | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State | NULL
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