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General NPI Number Information
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NPI Number | 1477677367
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Entity Type | Individual
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Provider Name | CAROLYN D BRUMBAUGH RN, CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/18/2007
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 8344 WOODBURY PIKE UNIT 101
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City | ROARING SPRING
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State | PA
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Zip | 16673-8107
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Country | US
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Telephone | 814-205-4025
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Fax | 814-240-6632
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Provider Business Mailing Address
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Address Line | 3920 PINEY CREEK RD
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City | WILLIAMSBURG
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State | PA
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Zip | 16693-8308
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Country | US
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Telephone | 814-312-8098
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN5229646
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP011992
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License Number State | PA
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