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General NPI Number Information
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NPI Number | 1457808198
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Entity Type | Individual
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Provider Name | BROOKE ROEBUCK AU.D.
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Gender | Female
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 12193 PEMBROKE RD
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-1727
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Country | US
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Telephone | 954-435-8820
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Fax | 954-450-8185
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Provider Business Mailing Address
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Address Line | 12193 PEMBROKE RD
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-1727
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Country | US
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Telephone | 954-435-8820
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Fax | 954-450-8185
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY 2085
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License Number State | FL
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