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General NPI Number Information
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NPI Number | 1942829635
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Entity Type | Individual
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Provider Name | BROOKE ANN PICCINI CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 1163 COUNTRY CLUB RD
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City | MONONGAHELA
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State | PA
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Zip | 15063-1095
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Country | US
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Telephone | 724-258-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 307 KENNETT DR
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City | ELIZABETH
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State | PA
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Zip | 15037-2447
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Country | US
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Telephone | 412-853-6728
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Fax | 412-751-4014
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F03200578
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN589333
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License Number State | PA
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