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1407906258
AMANDA C BROOKS
FAIRFAX, VA
NPI
1407906258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024124924)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
Mrs. AMANDA C BROOKS CRNP
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033-3952
Phone number: 703-934-5700
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Mailing Address
Mrs. AMANDA C BROOKS CRNP
2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNIT 6 W ATTN THERESA BROOKS
ROCKVILLE, MD 20852-4908
Phone number: 301-816-6660
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