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General NPI Number Information
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NPI Number | 1811198260
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Entity Type | Individual
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Provider Name | JENNIFER ANNE BROOKS D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 252 E HIGH ST
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City | LEXINGTON
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State | KY
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Zip | 40507-1422
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Country | US
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Telephone | 859-554-5844
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Fax | 866-907-9419
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Provider Business Mailing Address
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Address Line | 252 E HIGH ST
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City | LEXINGTON
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State | KY
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Zip | 40507-1422
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Country | US
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Telephone | 859-554-5844
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Fax | 866-907-9419
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4603
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301009988
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License Number State | MI
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