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General NPI Number Information
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NPI Number | 1902987407
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Entity Type | Individual
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Provider Name | GAYLE L BROOK DO
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 12/13/2019
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Provider Practice Location Address
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Address Line | 113 WILLBROOK BLVD UNIT F
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-8245
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Country | US
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Telephone | 843-353-6015
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Fax | 843-594-5149
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Provider Business Mailing Address
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Address Line | 201 SIGMA DR STE 100
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City | SUMMERVILLE
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State | SC
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Zip | 29486-7722
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Country | US
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Telephone | 843-695-6071
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Fax | 843-569-5879
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 411
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License Number State | SC
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