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General NPI Number Information
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NPI Number | 1689008153
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Entity Type | Individual
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Provider Name | BROOKE ANNE NORBECK D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/02/2013
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Last Update Date | 09/02/2013
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Provider Practice Location Address
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Address Line | 1012 MAIN ST
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City | ALAMOSA
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State | CO
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Zip | 81101-2445
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Country | US
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Telephone | 567-204-1553
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Fax |
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Provider Business Mailing Address
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Address Line | 19252 ROAD 21
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City | FORT JENNINGS
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State | OH
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Zip | 45844-9120
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Country | US
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Telephone | 567-204-1553
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT.0012364
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT.014454
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License Number State | OH
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