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General NPI Number Information
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NPI Number | 1659914000
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Entity Type | Organization
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Legal Business Name | RICHARD P. BROOKS, JR., ARNP, INC.
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 804 LEVEE ST
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City | HOQUIAM
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State | WA
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Zip | 98550-2527
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Country | US
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Telephone | 360-532-0060
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Fax | 360-532-0061
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Provider Business Mailing Address
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Address Line | 804 LEVEE ST
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City | HOQUIAM
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State | WA
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Zip | 98550-2527
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Country | US
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Telephone | 360-532-0060
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Fax | 360-532-0061
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Authorized Official
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Title or Position | OFFICE COORDINATOR
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Name | KATE TEAGUE
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Credential |
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Telephone | 360-532-0060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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