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General NPI Number Information
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NPI Number | 1598654337
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Entity Type | Individual
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Provider Name | EBENI BROOKS RN
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Gender | Female
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Dates
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Enumeration Date | 06/28/2025
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 800 W RANDOL MILL RD
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City | ARLINGTON
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State | TX
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Zip | 76012-2504
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Country | US
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Telephone | 817-960-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 HAZELNUT CT
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City | MANSFIELD
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State | TX
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Zip | 76063-4729
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Country | US
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Telephone | 210-508-2872
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 1033118
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License Number State | TX
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