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General NPI Number Information
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NPI Number | 1154733038
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Entity Type | Individual
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Provider Name | BREE BORGSTEADT LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 11615 ANGUS RD STE. 117A
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City | AUSTIN
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State | TX
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Zip | 78759-4078
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Country | US
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Telephone | 512-695-9283
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Fax | 512-456-5966
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Provider Business Mailing Address
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Address Line | 11615 ANGUS RD STE. 117A
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City | AUSTIN
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State | TX
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Zip | 78759-4078
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Country | US
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Telephone | 512-695-9283
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Fax | 512-456-5966
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 40491
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License Number State | TX
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