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General NPI Number Information
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NPI Number | 1700252087
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Entity Type | Individual
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Provider Name | MONICA BROOKS
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Gender | Female
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Dates
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Enumeration Date | 08/20/2015
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Last Update Date | 05/27/2024
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Provider Practice Location Address
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Address Line | 5425 PRINCE EDWARD HWY
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City | PROSPECT
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State | VA
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Zip | 23960-8098
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Country | US
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Telephone | 434-607-1322
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Fax | 434-574-6858
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Provider Business Mailing Address
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Address Line | 5425 PRINCE EDWARD HWY
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City | PROSPECT
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State | VA
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Zip | 23960-8098
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Country | US
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Telephone | 434-607-1322
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Fax | 434-574-6858
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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