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General NPI Number Information
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NPI Number | 1659057602
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Entity Type | Individual
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Provider Name | DR. BROOKE RENEE TILTON
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Gender | Female
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 3100 SHENANDOAH STREET
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City | HOUSTON
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State | TX
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Zip | 77021
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Country | US
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Telephone | 713-337-6732
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Fax | 713-400-9196
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Provider Business Mailing Address
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Address Line | 5523 THYME LANE
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City | BAYTOWN
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State | TX
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Zip | 77521
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Country | US
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Telephone | 281-917-9407
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 81481
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License Number State | TX
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