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General NPI Number Information
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NPI Number | 1992666408
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Entity Type | Individual
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Provider Name | BROOKE HERB
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Gender | Female
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 9896 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19115-5202
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Country | US
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Telephone | 215-934-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 544 SHIPMAN RD
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City | SUNBURY
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State | PA
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Zip | 17801-5117
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Country | US
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Telephone | 570-809-2965
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TE013480
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License Number State | PA
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