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NPI Code Detail

MEDICARE: DEBORAH BROOKS RDN

MEDICARE:   DEBORAH  BROOKS  RDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDN000748PA

General Provider Information

NPI Number : 1700291614
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH BROOKS RDN
Provider Business Mailing Address
First Line : 307 S LANG AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15208-2749
Country : US
Telephone Number : 412-241-1649
Fax Number : 412-572-8253
Provider Business Practice Location Address
First Line : 307 S LANG AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15208-2749
Country : US
Telephone Number : 412-241-1649
Fax Number : 412-572-8253
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2014
Last Update Date : 06/30/2014

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Directions to “ DEBORAH BROOKS RDN” Practice Location

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