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General NPI Number Information
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NPI Number | 1093427031
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Entity Type | Individual
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Provider Name | BRANDEE MERTZ LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 1237 W DIVIDE AVE STE 5
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City | BISMARCK
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State | ND
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Zip | 58501-1208
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Country | US
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Telephone | 701-328-8888
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Fax | 701-328-8900
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Provider Business Mailing Address
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Address Line | 3906 ENGLAND ST
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City | BISMARCK
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State | ND
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Zip | 58504-8969
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Country | US
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Telephone | 701-390-0202
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6381
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6381
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License Number State | ND
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