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General NPI Number Information
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NPI Number | 1316860554
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Entity Type | Individual
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Provider Name | BRIANNA FLECK LAC
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 402 6TH AVE SW
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City | BOWMAN
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State | ND
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Zip | 58623-4506
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Country | US
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Telephone | 701-523-7694
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Fax | 701-523-7695
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Provider Business Mailing Address
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Address Line | 201 7TH AVE SW
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City | BOWMAN
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State | ND
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Zip | 58623-4514
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Country | US
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Telephone | 701-440-1322
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2417
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License Number State | ND
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