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General NPI Number Information
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NPI Number | 1710864426
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Entity Type | Individual
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Provider Name | LOUINES BREDY PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 10901 WORLD TRADE BLVD
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City | RALEIGH
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State | NC
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Zip | 27617-4203
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Country | US
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Telephone | 919-746-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 501 SWEET PINE LN
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City | KNIGHTDALE
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State | NC
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Zip | 27545-6683
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Country | US
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Telephone | 919-648-3689
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 309458
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License Number State | NC
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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 | 5022934
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License Number State | NC
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