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General NPI Number Information
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NPI Number | 1346154820
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Entity Type | Individual
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Provider Name | ERNST DEBROSSE PMHNP
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Gender | Male
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 201 WELLNESS WAY
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City | READING
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State | PA
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Zip | 19605-8902
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Country | US
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Telephone | 484-926-6492
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Fax |
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Provider Business Mailing Address
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Address Line | 113 SHADYBROOKE DR S
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City | DOUGLASSVILLE
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State | PA
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Zip | 19518-1319
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Country | US
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Telephone | 267-515-7044
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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 | SP036993
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License Number State | PA
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