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General NPI Number Information
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NPI Number | 1992667117
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICAL PROFESSIONALS
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 402 LAWRENCE DR
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City | LANOKA HARBOR
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State | NJ
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Zip | 08734-2514
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Country | US
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Telephone | 732-757-4633
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Fax | 609-756-5291
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Provider Business Mailing Address
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Address Line | 402 LAWRENCE DR
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City | LANOKA HARBOR
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State | NJ
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Zip | 08734-2514
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Country | US
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Telephone | 732-757-4633
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Fax | 609-756-5291
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Authorized Official
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Title or Position | OWNER
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Name | TERRY KEITH BROOKS
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Credential | APN-C
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Telephone | 732-757-4633
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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 |
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License Number State |
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