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General NPI Number Information
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NPI Number | 1891556858
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Entity Type | Organization
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Legal Business Name | BROOKER LLC
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 2211 SCHOOL LN
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City | MISSION
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State | TX
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Zip | 78572-4617
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Country | US
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Telephone | 713-766-2796
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Fax | 713-766-2821
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Provider Business Mailing Address
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Address Line | 2211 SCHOOL LN
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City | MISSION
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State | TX
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Zip | 78572-4617
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Country | US
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Telephone | 713-766-2796
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Fax | 713-766-2821
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Authorized Official
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Title or Position | OWNER
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Name | MR. LEMONTRAE BROOKER
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Credential |
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Telephone | 503-516-0683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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