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General NPI Number Information
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NPI Number | 1780110304
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Entity Type | Organization
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Legal Business Name | BROOKS ALTERNATIVE AGENCY INCORPORATED
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 175 WHITE HORSE RD W
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City | VOORHEES
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State | NJ
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Zip | 08043-3673
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Country | US
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Telephone | 800-282-2208
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Fax | 856-282-3381
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Provider Business Mailing Address
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Address Line | 1242 POINT BREEZE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19146-4362
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Country | US
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Telephone | 800-282-2208
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Fax | 856-282-3381
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Authorized Official
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Title or Position | DIRECTOR
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Name | SONJI L BROOKS
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Credential | RN
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Telephone | 800-282-2208
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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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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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Taxonomy #5
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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Taxonomy #6
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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Taxonomy #7
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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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