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NPI 1811546914

NPI 1811546914 : ARIANA BROOKS-JAMES, MD, LLC : WATERTOWN, NY

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General NPI Number Information
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    NPI Number           |    1811546914
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARIANA BROOKS-JAMES, MD, LLC 
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Dates
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    Enumeration Date     |    09/11/2019
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    Last Update Date     |    11/21/2019
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Provider Practice Location Address
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    Address Line         |    222 THOMPSON BLVD 
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    City                 |    WATERTOWN
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    State                |    NY
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    Zip                  |    13601-4124
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    Country              |    US
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    Telephone            |    410-236-9795
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    222 THOMPSON BLVD 
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    City                 |    WATERTOWN
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    State                |    NY
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    Zip                  |    13601-4124
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    Country              |    US
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    Telephone            |    410-236-9795
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ARIANA  BROOKS-JAMES 
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    Credential           |    MD
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    Telephone            |    410-236-9795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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