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General NPI Number Information
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NPI Number | 1831806439
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Entity Type | Individual
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Provider Name | EMILY BROOKE DEES
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Gender | Female
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 07/13/2025
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Provider Practice Location Address
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Address Line | 5520 OLD BULLARD RD STE 120
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City | TYLER
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State | TX
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Zip | 75703-4361
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Country | US
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Telephone | 903-969-5125
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Fax | 207-536-2445
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Provider Business Mailing Address
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Address Line | 5520 OLD BULLARD RD STE 120
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City | TYLER
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State | TX
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Zip | 75703-4361
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Country | US
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Telephone | 903-969-5125
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Fax | 207-536-2445
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1169386
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License Number State | TX
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