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General NPI Number Information
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NPI Number | 1518544477
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Entity Type | Individual
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Provider Name | BRETT STEPHAN APRN, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 159 N SANGAMON ST STE 200
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City | CHICAGO
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State | IL
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Zip | 60607-2201
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Country | US
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Telephone | 773-923-3543
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Fax | 773-232-8609
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Provider Business Mailing Address
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Address Line | 159 N SANGAMON ST STE 200
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City | CHICAGO
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State | IL
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Zip | 60607-2201
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Country | US
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Telephone | 773-923-3543
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Fax | 773-232-8609
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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 | AP61442753
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 212414
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0010497
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 277004359
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NUR-APRN-LIC-219381
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License Number State | MT
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 298526
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License Number State | AZ
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10010368
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License Number State | OR
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R55069
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License Number State | ND
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 75566
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License Number State | NM
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