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NPI 1376687756

NPI 1376687756 : SANDRA DENISE BROOKS R,N, : COLUMBUS, OH

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General NPI Number Information
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    NPI Number           |    1376687756
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    Entity Type          |    Individual 
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    Provider Name        |    SANDRA DENISE BROOKS R,N,
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/17/2007
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    Last Update Date     |    03/20/2026
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Provider Practice Location Address
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    Address Line         |    2983 HINSEL DR 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43232-7717
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    Country              |    US
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    Telephone            |    914-751-9254
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2983 HINSEL DR 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43232-7717
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    Country              |    US
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    Telephone            |    914-751-9254
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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        |    163WP2201X
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    Taxonomy Name        |    Ambulatory Care Registered Nurse
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    License Number       |    179125
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    License Number State |    OH
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