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General NPI Number Information
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NPI Number | 1235566225
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Entity Type | Individual
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Provider Name | ZACHARY B BREUNIG
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Gender | Male
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Dates
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Enumeration Date | 10/04/2013
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 7100 S 29TH ST STE B
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City | LINCOLN
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State | NE
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Zip | 68516-6056
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Country | US
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Telephone | 402-476-0104
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Fax |
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Provider Business Mailing Address
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Address Line | 7320 JACOBS CREEK DR APT 431
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City | LINCOLN
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State | NE
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Zip | 68512-9568
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Country | US
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Telephone | 608-852-4804
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 10090
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License Number State | NE
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