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General NPI Number Information
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NPI Number | 1548132384
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Entity Type | Individual
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Provider Name | RUBY F BROOKS
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 3540 COBB PKWY NW STE 300
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City | ACWORTH
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State | GA
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Zip | 30101-4179
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Country | US
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Telephone | 678-501-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 4244 GROGAN ST NW
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City | ACWORTH
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State | GA
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Zip | 30101-5604
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Country | US
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Telephone | 678-554-9202
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT018039
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License Number State | GA
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