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General NPI Number Information
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NPI Number | 1972419745
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Entity Type | Individual
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Provider Name | SAMARA BROOKS
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Gender | Female
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/22/2026
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Provider Practice Location Address
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Address Line | 8700 SUITE 3, EAST MARKET STREET
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City | WARREN
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State | OH
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Zip | 44484-2340
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Country | US
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Telephone | 330-506-5635
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Fax | 330-237-7978
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Provider Business Mailing Address
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Address Line | 8700 SUITE 3, EAST MARKET STREET
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City | WARREN
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State | OH
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Zip | 44484-2340
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Country | US
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Telephone | 330-506-5635
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Fax | 330-237-7978
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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