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General NPI Number Information
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NPI Number | 1558340729
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Entity Type | Individual
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Provider Name | KATHERINE R BREDEHOEFT PHD
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Gender | Female
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 11/08/2020
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Provider Practice Location Address
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Address Line | 7404 CHAPEL HILL RD STE A
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City | RALEIGH
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State | NC
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Zip | 27607-5043
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Country | US
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Telephone | 919-468-9444
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Fax | 910-829-9001
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Provider Business Mailing Address
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Address Line | PO BOX 3711
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City | CHAPEL HILL
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State | NC
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Zip | 27515-3711
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Country | US
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Telephone | 919-612-5549
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Fax | 910-829-9001
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2726
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License Number State | NC
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