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General NPI Number Information
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NPI Number | 1821201344
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Entity Type | Individual
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Provider Name | JAMES BYRON BROOKS PHD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 307 S SALEM ST STE 100
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City | APEX
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State | NC
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Zip | 27502-1845
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Country | US
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Telephone | 919-215-7455
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Fax | 919-724-4094
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Provider Business Mailing Address
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Address Line | 217 HICKORY GLEN LN
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-8633
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Country | US
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Telephone | 919-215-1772
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 177
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | S3173
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License Number State | NC
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