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General NPI Number Information
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NPI Number | 1619782786
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Entity Type | Organization
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Legal Business Name | DAGERIA ANTOINETTE BROOKS, NP IN PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 401 NEW KARNER RD
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City | ALBANY
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State | NY
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Zip | 12205-3854
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Country | US
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Telephone | 516-851-2961
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Fax | 888-687-7273
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Provider Business Mailing Address
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Address Line | 12 PRESERVE WAY
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City | SCHENECTADY
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State | NY
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Zip | 12304-8510
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DAGERIA BROOKS
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Credential | NP
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Telephone | 203-998-6673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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