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General NPI Number Information
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NPI Number | 1023829454
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Entity Type | Individual
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Provider Name | AMBER DEGEZELLE PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 1005 BROOKSIDE RD STE 240
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City | ALLENTOWN
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State | PA
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Zip | 18106-9023
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Country | US
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Telephone | 610-572-9659
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Fax |
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Provider Business Mailing Address
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Address Line | 509 W LANCASTER AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2803
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Country | US
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Telephone | 610-202-0707
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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 | SP031473
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License Number State | PA
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