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General NPI Number Information
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NPI Number | 1427325224
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Entity Type | Individual
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Provider Name | BROOKE ERSLAND M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/22/2011
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Last Update Date | 02/15/2025
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Provider Practice Location Address
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Address Line | 1550 W CRAIG RD STE 220
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-0329
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Country | US
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Telephone | 702-616-5801
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Fax | 702-399-8429
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Provider Business Mailing Address
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Address Line | 800 BRADBURY DR SE STE 116
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4310
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Country | US
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Telephone | 505-272-1476
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | Q4094
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD2015-0202
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22248
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License Number State | NV
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