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General NPI Number Information
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NPI Number | 1508306275
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Entity Type | Individual
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Provider Name | WILLIAM JOSEPH JAMES BROOKS II OTR/L
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Gender | Male
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 70 BUTLER ST
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City | SALEM
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State | NH
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Zip | 03079-3925
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Country | US
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Telephone | 603-893-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 8 ELEPHANT ROCK RD
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City | SEABROOK
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State | NH
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Zip | 03874-5002
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Country | US
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Telephone | 603-231-5430
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2624
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 12204
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License Number State | MA
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