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General NPI Number Information
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NPI Number | 1326033879
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Entity Type | Individual
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Provider Name | STEVEN K BROCKMAN MD PHD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 1112 YANCEY ST
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City | SHELBY
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State | NC
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Zip | 28150-3672
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Country | US
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Telephone | 704-481-7713
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Fax | 704-235-1971
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Provider Business Mailing Address
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Address Line | 1112 YANCEY ST
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City | SHELBY
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State | NC
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Zip | 28150-3672
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Country | US
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Telephone | 704-481-7713
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Fax | 704-235-1971
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 33212
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 33212
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License Number State | NC
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