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General NPI Number Information
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NPI Number | 1720189814
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Entity Type | Individual
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Provider Name | ANN MARIE BROOKS ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4900 BAYOU BLVD
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City | PENSACOLA
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State | FL
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Zip | 32503-2525
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Country | US
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Telephone | 850-476-2387
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Fax |
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Provider Business Mailing Address
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Address Line | 8350 BELEZA ST
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City | NAVARRE
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State | FL
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Zip | 32566-9285
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Country | US
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Telephone | 850-939-4033
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 777752
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License Number State | FL
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