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General NPI Number Information
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NPI Number | 1336156306
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Entity Type | Individual
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Provider Name | RICHARD JOSEPH BROOKS PHD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5210 E PIMA SUITE 200
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City | TUCSON
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State | AZ
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Zip | 85712-3678
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Country | US
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Telephone | 520-751-8311
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Fax | 520-795-3575
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Provider Business Mailing Address
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Address Line | PO BOX 31708
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City | TUCSON
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State | AZ
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Zip | 85751-1708
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Country | US
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Telephone | 520-751-8311
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Fax | 520-795-3575
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1315
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License Number State | AZ
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