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General NPI Number Information
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NPI Number | 1588088181
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Entity Type | Individual
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Provider Name | BRECK MARIE MATTESON RN BSN IBCLC
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Gender | Female
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 6356 S NEWLAND CT
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City | LITTLETON
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State | CO
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Zip | 80123-3862
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Country | US
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Telephone | 720-463-4016
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Fax |
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Provider Business Mailing Address
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Address Line | 5570 PRESERVE DR
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80121-2111
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Country | US
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Telephone | 248-506-7474
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Fax | 248-506-7474
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 4704261958
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN.0180116
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License Number State | CO
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