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General NPI Number Information
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NPI Number | 1366310948
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Entity Type | Individual
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Provider Name | BROOKE BRENNAN-MUNGOVAN
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Gender | Female
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 633 AMHERST ST
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City | NASHUA
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State | NH
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Zip | 03063-1017
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Country | US
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Telephone | 603-880-6861
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Fax |
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Provider Business Mailing Address
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Address Line | 17 NIQUETTE DR
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City | NASHUA
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State | NH
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Zip | 03062-2318
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHCY-01422
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License Number State | NH
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