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General NPI Number Information
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NPI Number | 1689524449
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Entity Type | Individual
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Provider Name | BROOKE NICOLE OTT CNM
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Gender | Female
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Dates
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Enumeration Date | 01/31/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 1165 IMPERIAL DR STE 300
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6556
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Country | US
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Telephone | 301-665-9098
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Fax |
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Provider Business Mailing Address
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Address Line | 110 SUNHIGH DR
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City | THURMONT
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State | MD
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Zip | 21788-3214
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Country | US
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Telephone | 240-818-8142
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State | MD
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