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General NPI Number Information
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NPI Number | 1396698486
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Entity Type | Individual
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Provider Name | BROOKE CROSS
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 3001 ACADEMY RD STE 200
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City | DURHAM
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State | NC
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Zip | 27707-6245
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Country | US
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Telephone | 984-365-9330
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Fax |
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Provider Business Mailing Address
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Address Line | 121 GREYFIELD DR
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City | TIMBERLAKE
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State | NC
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Zip | 27583-8994
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Country | US
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Telephone | 252-908-6072
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-23-270015
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License Number State | NC
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