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General NPI Number Information
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NPI Number | 1053561738
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Entity Type | Individual
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Provider Name | ALENA DEBROSSE NPP
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Gender | Female
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 16 FAIRMOUNT AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-3005
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Country | US
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Telephone | 516-312-9486
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Fax |
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Provider Business Mailing Address
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Address Line | 16 FAIRMOUNT AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-3005
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Country | US
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Telephone | 551-206-3540
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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 | F400569
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ01046000
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License Number State | NJ
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