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General NPI Number Information
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NPI Number | 1881352656
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Entity Type | Individual
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Provider Name | PAIGE BROOKS
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Gender | Female
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Dates
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Enumeration Date | 11/29/2021
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 201 SECOND AVE
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-3613
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Country | US
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Telephone | 610-489-7703
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Fax |
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Provider Business Mailing Address
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Address Line | 657 MEADOW LN
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-1620
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Country | US
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Telephone | 267-761-2837
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT030034
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License Number State | PA
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