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General NPI Number Information
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NPI Number | 1598366528
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Entity Type | Individual
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Provider Name | LAUREN DANZI BRUMLEY PHD
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Gender | Female
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 125 W ROSEDALE AVE
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City | WEST CHESTER
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State | PA
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Zip | 19383-2004
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Country | US
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Telephone | 610-436-2723
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Fax |
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Provider Business Mailing Address
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Address Line | 24 OSAGE RD
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City | CLAYMONT
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State | DE
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Zip | 19703-1214
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Country | US
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Telephone | 704-661-6891
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS019241
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License Number State | PA
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