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General NPI Number Information
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NPI Number | 1740514017
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE BREEN NP
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Gender | Female
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Dates
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Enumeration Date | 09/19/2009
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Last Update Date | 10/26/2025
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Provider Practice Location Address
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Address Line | 6838 N ROCHESTER RD STE B
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City | ROCHESTER HILLS
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State | MI
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Zip | 48306-4337
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Country | US
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Telephone | 248-710-3432
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Fax |
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Provider Business Mailing Address
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Address Line | 6838 N ROCHESTER RD STE B
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City | ROCHESTER HILLS
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State | MI
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Zip | 48306-4337
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Country | US
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Telephone | 248-710-3432
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | F381924
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F335919
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704387775
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-1914
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License Number State | HI
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