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General NPI Number Information
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NPI Number | 1922297464
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Entity Type | Individual
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Provider Name | KATHERINE HADDEN BROOKS PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 1330 BOILING SPRINGS RD SUITE 1600
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City | SPARTANBURG
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State | SC
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Zip | 29303-4201
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Country | US
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Telephone | 864-582-6396
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Fax | 864-582-1608
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Provider Business Mailing Address
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Address Line | 1330 BOILING SPRINGS RD SUITE 1600
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City | SPARTANBURG
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State | SC
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Zip | 29303-4201
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Country | US
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Telephone | 864-582-6396
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Fax | 864-582-1608
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1238
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License Number State | SC
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