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General NPI Number Information
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NPI Number | 1629932728
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Entity Type | Individual
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Provider Name | BRIANA PAIGE
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Gender | Female
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 38175 GRAND AVE
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City | NORTH BRANCH
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State | MN
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Zip | 55056-6070
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Country | US
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Telephone | 651-674-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 220 RAILROAD ST SE
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City | PINE CITY
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State | MN
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Zip | 55063-1540
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Country | US
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Telephone | 320-629-7600
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5336
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License Number State | MN
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