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General NPI Number Information
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NPI Number | 1639244353
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Entity Type | Individual
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Provider Name | ANDRE M BROOKS M.D
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 10145 CORTEZ BLVD
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City | WEEKI WACHEE
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State | FL
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Zip | 34613-6385
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Country | US
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Telephone | 352-597-4631
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Fax | 352-597-0076
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Provider Business Mailing Address
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Address Line | 10091 CORTEZ BLVD
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City | WEEKI WACHEE
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State | FL
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Zip | 34613-6378
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Country | US
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Telephone | 352-597-4631
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Fax | 352-597-0076
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME9444
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License Number State | FL
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