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General NPI Number Information
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NPI Number | 1407993066
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Entity Type | Individual
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Provider Name | DAVID J. BROOKS M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 704 S WEBSTER AVE STE 501
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City | GREEN BAY
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State | WI
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Zip | 54301-3528
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Country | US
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Telephone | 920-433-6050
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Fax | 920-433-6049
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Provider Business Mailing Address
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Address Line | PO BOX 22487
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City | GREEN BAY
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State | WI
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Zip | 54305-2487
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Country | US
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Telephone | 920-445-7210
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Fax | 920-445-7289
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 34038
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License Number State | WI
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