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General NPI Number Information
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NPI Number | 1447210083
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Entity Type | Individual
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Provider Name | COURTNEY MEI-YOUNG BROOKS DMD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 05/07/2013
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Provider Practice Location Address
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Address Line | 1800 MCRAE BLVD
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City | EL PASO
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State | TX
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Zip | 79925-6706
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Country | US
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Telephone | 915-242-5741
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 MIDDLEFIELD RD #214
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City | PALO ALTO
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State | CA
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Zip | 94306-2516
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Country | US
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Telephone | 650-924-8349
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D6256
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 61912
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22651
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License Number State | TX
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