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General NPI Number Information
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NPI Number | 1588964530
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Entity Type | Individual
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Provider Name | BRANDI L. BROOKS PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2010
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 104 HIGHWAY 72 W
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City | CORINTH
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State | MS
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Zip | 38834-5511
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Country | US
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Telephone | 662-287-8304
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Fax | 662-287-8245
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Provider Business Mailing Address
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Address Line | 286 COUNTY ROAD 7030
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City | BOONEVILLE
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State | MS
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Zip | 38829-9521
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Country | US
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Telephone | 662-284-6344
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E-09995
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License Number State | MS
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