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General NPI Number Information
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NPI Number | 1407536972
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Entity Type | Individual
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Provider Name | ELIZABETH BREGE LPC
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Gender | Female
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Dates
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Enumeration Date | 07/20/2023
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 181 N BARLOW RD
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City | HARRISVILLE
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State | MI
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Zip | 48740-9607
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Country | US
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Telephone | 989-736-8716
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 655
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City | ALPENA
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State | MI
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Zip | 49707-0655
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Country | US
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Telephone | 989-736-9815
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401225373
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License Number State | MI
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