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General NPI Number Information
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NPI Number | 1699699207
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Entity Type | Individual
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Provider Name | BROOKE MYERS
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Gender | Female
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 385 CIRCLEVILLE AVE
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City | ASHVILLE
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State | OH
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Zip | 43103-9638
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Country | US
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Telephone | 740-983-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 412 CHURCH ST
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-1622
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Country | US
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Telephone | 260-416-2602
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2512758
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License Number State | OH
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