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General NPI Number Information
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NPI Number | 1912264268
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Entity Type | Individual
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Provider Name | SHARICA BROOKINS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 1253 ARCILLA PT
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City | MARTINEZ
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State | GA
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Zip | 30907-9297
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Country | US
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Telephone | 833-543-6398
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Fax |
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Provider Business Mailing Address
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Address Line | 607 RONALD REAGAN DR UNIT 691
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City | EVANS
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State | GA
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Zip | 30809-7728
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Country | US
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Telephone | 833-543-6398
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Fax | 833-543-6398
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 78606
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License Number State | GA
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