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NPI 1982481487

NPI 1982481487 : PAIGE MACKENZIE BRECI MS, LIMHP : BELLEVUE, NE

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General NPI Number Information
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    NPI Number           |    1982481487
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    Entity Type          |    Individual 
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    Provider Name        |    PAIGE MACKENZIE BRECI MS, LIMHP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/11/2023
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    Last Update Date     |    01/05/2026
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Provider Practice Location Address
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    Address Line         |    207 GALVIN RD N 
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    City                 |    BELLEVUE
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    State                |    NE
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    Zip                  |    68005-4898
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    Country              |    US
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    Telephone            |    402-940-7387
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    Fax                  |    402-702-0538
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Provider Business Mailing Address
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    Address Line         |    207 GALVIN RD N 
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    City                 |    BELLEVUE
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    State                |    NE
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    Zip                  |    68005-4898
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    Country              |    US
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    Telephone            |    402-940-7387
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    Fax                  |    402-702-0538
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    3128
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    4315
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    License Number State |    NE
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