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General NPI Number Information
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NPI Number | 1841630860
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Entity Type | Organization
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Legal Business Name | BROOKS HEARING,LLC
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Dates
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Enumeration Date | 07/05/2013
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Last Update Date | 07/05/2013
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Provider Practice Location Address
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Address Line | 301 W 19TH ST
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City | MT PLEASANT
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State | TX
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Zip | 75455-2322
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Country | US
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Telephone | 903-737-8800
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Fax | 903-784-8429
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Provider Business Mailing Address
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Address Line | 3130 LAMAR AVE
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City | PARIS
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State | TX
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Zip | 75460-5020
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Country | US
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Telephone | 903-737-8800
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Fax | 903-784-8429
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Authorized Official
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Title or Position | AUDIOLOGIST/SPEECH PATHOLOGIST
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Name | JAMI H BROOKS
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Credential | AUD.,CCC A/SLP
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Telephone | 903-737-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 14561
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 50734
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License Number State | TX
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