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General NPI Number Information
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NPI Number | 1740427988
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Entity Type | Organization
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Legal Business Name | BROOKS HEALTH CARE SYSTEMS, INC.
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Dates
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Enumeration Date | 01/09/2009
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 2743 W EASTMAN DR
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City | ANTHEM
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State | AZ
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Zip | 85086-1780
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Country | US
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Telephone | 623-218-6354
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Fax | 623-398-7562
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Provider Business Mailing Address
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Address Line | 3434 W ANTHEM WAY SUITE 118, #452
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City | ANTHEM
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State | AZ
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Zip | 85086-0448
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Country | US
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Telephone | 623-218-6354
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Fax | 623-398-7562
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. TORRANCE A BROOKS
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Credential | D.C.
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Telephone | 623-218-6354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5901
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License Number State | AZ
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