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General NPI Number Information
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NPI Number | 1922652809
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Entity Type | Individual
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Provider Name | BROOKE L DEFRANCISCO CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE RD NW
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-605-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 412 BELLEVILLE AVE
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City | BREWTON
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State | AL
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Zip | 36426-2047
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Country | US
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Telephone |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 287839
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License Number State | GA
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