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General NPI Number Information
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NPI Number | 1447794938
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Entity Type | Individual
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Provider Name | BRIGID MARRIE SCULLIN DNP
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Gender | Female
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 321 ARCH STREET
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City | MEADVILLE
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State | PA
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Zip | 16335-4220
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Country | US
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Telephone | 814-333-7109
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Fax |
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Provider Business Mailing Address
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Address Line | 5507 WESTON DOWNS DR
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City | DURHAM
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State | NC
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Zip | 27707-9216
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Country | US
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Telephone | 919-537-2076
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP027150
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5009126
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License Number State | NC
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