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General NPI Number Information
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NPI Number | 1760911416
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Entity Type | Individual
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Provider Name | BREN ELIZABETH FRANK QMHP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 121 E 2ND STREET
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City | BEARDSTOWN
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State | IL
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Zip | 62618-1263
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Country | US
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Telephone | 217-323-2980
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Fax | 217-323-3731
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Provider Business Mailing Address
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Address Line | 1340 MOUNT PLEASANT ST
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City | BURLINGTON
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State | IA
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Zip | 52601-2623
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Country | US
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Telephone | 319-753-6567
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Fax | 319-753-0703
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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 |
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License Number State |
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