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General NPI Number Information
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NPI Number | 1578092953
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Entity Type | Individual
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Provider Name | BROOKE ELIZABETH BECHTEL MA, LLPC
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Gender | Female
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 06/08/2017
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Provider Practice Location Address
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Address Line | 2801 ASHMAN ST
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City | MIDLAND
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State | MI
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Zip | 48640-4408
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Country | US
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Telephone | 989-633-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 776 N WHITEVILLE RD
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-8731
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Country | US
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Telephone | 989-506-3118
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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 | 6401016100
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License Number State | MI
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