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NPI 1801251996

NPI 1801251996 : DAMION BROOKS SR. CRNP : WARNER ROBINS, GA

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General NPI Number Information
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    NPI Number           |    1801251996
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    Entity Type          |    Individual 
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    Provider Name        |    DAMION BROOKS SR. CRNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/16/2015
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    Last Update Date     |    10/25/2023
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Provider Practice Location Address
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    Address Line         |    820 DUKE AVE STE C 
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    City                 |    WARNER ROBINS
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    State                |    GA
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    Zip                  |    31093-2684
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    Country              |    US
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    Telephone            |    478-551-4203
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    102 WESTCLIFF CENTER ST APT D 
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    City                 |    WARNER ROBINS
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    State                |    GA
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    Zip                  |    31093-8876
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    Country              |    US
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    Telephone            |    478-273-1086
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    RN251372
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    RN251372
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    RN251372
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    License Number State |    GA
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Taxonomy #4
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    RN251372
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    License Number State |    GA
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Taxonomy #5
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    RN251372
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    License Number State |    GA
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Taxonomy #6
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    RN251372
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    License Number State |    GA
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