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NPI 1497182414

NPI 1497182414 : AMARA BROOK PH.D. : RENO, NV

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General NPI Number Information
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    NPI Number           |    1497182414
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    Entity Type          |    Individual 
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    Provider Name        |    AMARA BROOK PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/04/2013
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    Last Update Date     |    01/23/2026
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Provider Practice Location Address
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    Address Line         |    1000 CAUGHLIN CROSSING, #55 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89519
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    Country              |    US
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    Telephone            |    775-260-4455
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    Fax                  |    775-490-0182
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Provider Business Mailing Address
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    Address Line         |    3141 STEVENS CREEK BLVD # 40771 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95117-1141
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    Country              |    US
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    Telephone            |    775-260-4455
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    Fax                  |    775-490-0182
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PSY27165
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PSY27165
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    License Number State |    CA
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