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General NPI Number Information
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NPI Number | 1205199791
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Entity Type | Individual
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Provider Name | ERIKA B BROSIG LCSW, CTTS
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Gender | Female
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 638 FERNDALE AVE
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City | JOHNSTOWN
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State | PA
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Zip | 15905-3946
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Country | US
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Telephone | 814-288-4961
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Fax | 814-288-3904
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Provider Business Mailing Address
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Address Line | 307 VINE ST
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City | JOHNSTOWN
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State | PA
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Zip | 15901-2906
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Country | US
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Telephone | 814-288-4961
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Fax | 814-809-8479
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW020105
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License Number State | PA
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