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General NPI Number Information
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NPI Number | 1558817841
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Entity Type | Individual
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Provider Name | ROBIN BROOKS
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Gender | Female
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 08/28/2016
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Provider Practice Location Address
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Address Line | 6299 W SUNRISE BLVD SUITE 211C
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City | PLANTATION
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State | FL
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Zip | 33313-6180
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Country | US
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Telephone | 954-643-6443
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Fax | 954-578-2165
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Provider Business Mailing Address
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Address Line | 6229 W SUNRISE BLVD SUITE 211C
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City | SUNRISE
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State | FL
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Zip | 33313-0000
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Country | US
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Telephone | 954-643-6443
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Fax | 954-578-2165
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 210676
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 234401
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 234401
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 234401
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 234401
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 23
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License Number State | FL
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