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General NPI Number Information
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NPI Number | 1407793045
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Entity Type | Individual
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Provider Name | DEVONTE BROOKS PSS
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Gender | Male
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 426 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90013-2119
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Country | US
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Telephone | 213-626-6411
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Fax |
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Provider Business Mailing Address
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Address Line | 12070 TELEGRAPH RD
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-3771
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Country | US
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Telephone | 626-399-4854
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | MPSS-HNVTWS
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License Number State | CA
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