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General NPI Number Information
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NPI Number | 1356712251
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Entity Type | Organization
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Legal Business Name | BROOKS FAMILY HEALTH SERVICES LLC,
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Dates
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Enumeration Date | 10/18/2015
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Last Update Date | 10/18/2015
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Provider Practice Location Address
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Address Line | 46 BARTLEY AVE
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City | MANSFIELD
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State | OH
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Zip | 44906-3144
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Country | US
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Telephone | 419-559-9356
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Fax |
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Provider Business Mailing Address
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Address Line | 46 BARTLEY AVE
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City | MANSFIELD
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State | OH
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Zip | 44906-3144
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Country | US
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Telephone | 419-559-9356
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Fax |
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Authorized Official
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Title or Position | OWNER/OFFICE MANAGER
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Name | MS. CHANTEL R BROOKS
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Credential |
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Telephone | 419-559-9356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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