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General NPI Number Information
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NPI Number | 1891584181
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Entity Type | Individual
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Provider Name | BROOKS COLLINS
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Gender | Male
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 33505 13TH PL S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6337
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Country | US
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Telephone | 206-507-2226
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Fax |
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Provider Business Mailing Address
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Address Line | 7624 189TH STREET CT E
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City | PUYALLUP
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State | WA
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Zip | 98375-2436
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Country | US
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Telephone | 253-561-5078
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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