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General NPI Number Information
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NPI Number | 1356246680
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Entity Type | Individual
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Provider Name | ETHAN PATRICK ENGLERT FNP-C
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Gender | Male
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 96 ATLANTIC AVE
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City | OCEAN VIEW
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State | DE
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Zip | 19970-9103
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Country | US
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Telephone | 302-402-3015
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Fax | 302-402-5942
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Provider Business Mailing Address
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Address Line | 12228 N HAVEN DR
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City | SELBYVILLE
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State | DE
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Zip | 19975-3726
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Country | US
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Telephone | 302-402-3015
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Fax | 302-402-5942
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | LG-0014196
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License Number State | DE
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