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General NPI Number Information
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NPI Number | 1114614948
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Entity Type | Individual
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Provider Name | BRITTNEY NICOLE MAZIE LGPC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2023
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 285 W BIRCH LN
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City | ROMNEY
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State | WV
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Zip | 26757-1610
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Country | US
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Telephone | 304-359-2380
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 IVY CLUB LN UNIT 143
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City | LANDOVER
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State | MD
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Zip | 20785-4508
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Country | US
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Telephone |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGP14238
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License Number State | MD
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