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General NPI Number Information
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NPI Number | 1316884364
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Entity Type | Individual
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Provider Name | BROOKE SEIBER
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Gender | Female
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 13995 W STATLER BLVD STE 165
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City | SURPRISE
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State | AZ
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Zip | 85374-5517
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Country | US
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Telephone | 623-537-5661
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Fax |
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Provider Business Mailing Address
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Address Line | 11963 W FILLMORE ST
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City | AVONDALE
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State | AZ
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Zip | 85323-7209
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 015044
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License Number State | AZ
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