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General NPI Number Information
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NPI Number | 1184290652
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Entity Type | Individual
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Provider Name | BROOKE R GRASSMYER MSN,APRN,FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 101 ALLEGHENY ST STE 2B
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-1874
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Country | US
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Telephone | 814-433-2632
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Fax |
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Provider Business Mailing Address
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Address Line | 161 MOUNTAIN VIEW DR
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City | TYRONE
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State | PA
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Zip | 16686-7210
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Country | US
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Telephone | 814-207-5319
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0
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License Number State | PA
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