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General NPI Number Information
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NPI Number | 1538900550
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Entity Type | Individual
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Provider Name | BROOKE ERIN DENNIS
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Gender | Female
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 142P CANAL ST
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City | SALEM
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State | MA
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Zip | 01970-4650
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Country | US
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Telephone | 978-548-6288
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Fax |
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Provider Business Mailing Address
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Address Line | 274 WASHINGTON ST APT 1L
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City | MARBLEHEAD
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State | MA
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Zip | 01945-3392
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Country | US
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Telephone | 407-405-0060
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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