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General NPI Number Information
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NPI Number | 1336944776
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Entity Type | Individual
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Provider Name | BRITTANY SUE PACHECO PMHNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 498 N KAYS DR
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City | KAYSVILLE
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State | UT
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Zip | 84037-4137
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Country | US
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Telephone | 385-382-1555
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Fax | 877-851-4180
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Provider Business Mailing Address
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Address Line | 498 N KAYS DR
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City | KAYSVILLE
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State | UT
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Zip | 84037-4137
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Country | US
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Telephone | 385-382-1555
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Fax | 877-851-4180
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11498993-4405
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License Number State | UT
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