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General NPI Number Information
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NPI Number | 1972016400
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Entity Type | Individual
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Provider Name | PATRICIA BROOKS NP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 06/09/2019
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Provider Practice Location Address
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Address Line | 2820 VILLAGE PKWY STE 620
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City | HIGHLAND VILLAGE
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State | TX
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Zip | 75077-3298
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Country | US
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Telephone | 972-317-2082
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 REESE WAY
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City | LANTANA
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State | TX
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Zip | 76226-5560
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Country | US
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Telephone | 940-594-8822
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP135748
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License Number State | TX
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