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General NPI Number Information
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NPI Number | 1679081095
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Entity Type | Individual
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Provider Name | DARNELL MARIE LORICK-BROOKS PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2018
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1553 ROTHLEY AVE
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City | WILLOW GROVE
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State | PA
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Zip | 19090
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Country | US
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Telephone | 215-287-8435
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Fax |
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Provider Business Mailing Address
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Address Line | 1553 ROTHLEY AVE
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City | WILLOW GROVE
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State | PA
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Zip | 19090-4819
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Country | US
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Telephone | 215-287-8435
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SPO18511
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 2240242Q
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License Number State | PA
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