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General NPI Number Information
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NPI Number | 1437610623
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Entity Type | Individual
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Provider Name | BROOK GIRMA MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2019
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 10123 SE MARKET ST
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City | PORTLAND
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State | OR
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Zip | 97216-2532
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Country | US
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Telephone | 503-251-6136
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Fax | 503-251-6293
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Provider Business Mailing Address
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Address Line | 2575 NORTHWINDS PKWY
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City | ALPHARETTA
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State | GA
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Zip | 30009-2232
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Country | US
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Telephone | 800-930-0748
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 338174
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 338174
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD223725
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License Number State | OR
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