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General NPI Number Information
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NPI Number | 1457400657
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Entity Type | Organization
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Legal Business Name | NORMAN BROUDY
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 825 N WASHINGTON ST
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City | WILMINGTON
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State | DE
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Zip | 19801-1509
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Country | US
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Telephone | 302-655-7110
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Fax | 302-655-6185
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Provider Business Mailing Address
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Address Line | 825 N WASHINGTON ST
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City | WILMINGTON
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State | DE
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Zip | 19801-1509
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Country | US
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Telephone | 302-655-7110
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Fax | 302-655-6185
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Authorized Official
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Title or Position | LEAD DOCTOR
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Name | NORMAN BROUDY
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Credential | MD
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Telephone | 302-655-7110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | B10000381
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | B10000110
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | B10000234
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LE0000140
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | C10006767
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License Number State | DE
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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | C10007596
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License Number State | DE
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Taxonomy #7
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | C10001649
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License Number State | DE
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Taxonomy #8
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | Q10000120
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License Number State | DE
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Taxonomy #9
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | Q10000260
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License Number State | DE
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Taxonomy #10
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | Q10000773
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License Number State | DE
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Taxonomy #11
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | Q10000129
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License Number State | DE
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Taxonomy #12
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | PC0000237
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License Number State | DE
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Taxonomy #13
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0000473
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License Number State | DE
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Taxonomy #14
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | B10000333
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License Number State | DE
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Taxonomy #15
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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