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General NPI Number Information
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NPI Number | 1457334047
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Entity Type | Individual
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Provider Name | DEANNA R. BRASILE DO
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Gender | Female
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 825 OLD LANCASTER RD STE 170
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City | BRYN MAWR
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State | PA
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Zip | 19010-3234
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Country | US
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Telephone | 610-527-0800
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Fax | 610-527-9868
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Provider Business Mailing Address
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Address Line | PO BOX 631790
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City | CINCINNATI
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State | OH
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Zip | 45263-1790
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Country | US
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Telephone | 615-550-4900
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Fax | 615-550-4941
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS012004
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MB07415400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 25MB07415400
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | OS012004
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License Number State | PA
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